Provider Demographics
NPI:1679582878
Name:MORRIS, RICK J (OD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12265 WEST BAYAUD AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2116
Mailing Address - Country:US
Mailing Address - Phone:720-709-7334
Mailing Address - Fax:720-709-7336
Practice Address - Street 1:12265 WEST BAYAUD AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2116
Practice Address - Country:US
Practice Address - Phone:720-709-7334
Practice Address - Fax:720-709-7336
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT0003171152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084380600Medicaid
FL084380600Medicaid
FL19697AMedicare PIN