Provider Demographics
NPI:1437120219
Name:MORROW, JEFFERY ALEXANDER (O D)
Entity Type:Individual
Prefix:
First Name:JEFFERY
Middle Name:ALEXANDER
Last Name:MORROW
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2457
Mailing Address - Country:US
Mailing Address - Phone:251-635-0919
Mailing Address - Fax:251-635-0924
Practice Address - Street 1:610 PROVIDENCE PARK DR E
Practice Address - Street 2:BLDG. 2, SUITE 202
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4622
Practice Address - Country:US
Practice Address - Phone:251-635-0919
Practice Address - Fax:251-635-0924
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS840TA387152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2421947OtherUNITED HEALTHCARE PROV #
ALU78322OtherHEALTHSPRING PROVIDER #
AL51003251OtherBLUE CROSS PROVIDER #
AL7222594OtherAETNA PIN
AL51003251OtherBLUE CROSS PROVIDER #
ALU78322OtherHEALTHSPRING PROVIDER #