Provider Demographics
NPI:1578557732
Name:MORRISON EYE ASSOCIATES INC
Entity Type:Organization
Organization Name:MORRISON EYE ASSOCIATES INC
Other - Org Name:MORRISON ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEIBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-233-8783
Mailing Address - Street 1:235 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1213
Mailing Address - Country:US
Mailing Address - Phone:717-233-8783
Mailing Address - Fax:717-233-2221
Practice Address - Street 1:235 DIVISION ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1213
Practice Address - Country:US
Practice Address - Phone:717-233-8783
Practice Address - Fax:717-233-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
02367200OtherBLUE CROSS
MO081945OtherBLUE SHIELD
02367200OtherBLUE CROSS
MO081945Medicare ID - Type Unspecified