Provider Demographics
NPI:1669441291
Name:MORGAN, TODD DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:DAVID
Last Name:MORGAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:7108 TULL WATER DR SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9059
Mailing Address - Country:US
Mailing Address - Phone:256-539-8236
Mailing Address - Fax:256-534-4681
Practice Address - Street 1:330 SUTTON RD
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9164
Practice Address - Country:US
Practice Address - Phone:256-534-4191
Practice Address - Fax:256-534-4681
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALS877 TA438152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51525783OtherBLUE CROSS
AL51525783OtherBLUE CROSS