Provider Demographics
NPI:1598850208
Name:MORGENSTERN, ANDREW SETH (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SETH
Last Name:MORGENSTERN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10712 PINE HAVEN TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3441
Mailing Address - Country:US
Mailing Address - Phone:202-423-3500
Mailing Address - Fax:301-881-5420
Practice Address - Street 1:11200 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3154
Practice Address - Country:US
Practice Address - Phone:202-423-3500
Practice Address - Fax:301-881-5420
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA 1721152W00000X
NYTUV006190-1152W00000X
NJ27OA00589400152W00000X
FLOPC 3562152W00000X
VA0618001017152W00000X
DCOP1000059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist