Provider Demographics
NPI:1689877714
Name:DR MICHAEL J MORRIS OD PLLC
Entity Type:Organization
Organization Name:DR MICHAEL J MORRIS OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-968-2720
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:HILLVIEW
Mailing Address - State:KY
Mailing Address - Zip Code:40129-0667
Mailing Address - Country:US
Mailing Address - Phone:502-968-2720
Mailing Address - Fax:502-968-2721
Practice Address - Street 1:11901 STANDIFORD PLAZA DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-5906
Practice Address - Country:US
Practice Address - Phone:502-968-2720
Practice Address - Fax:502-968-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty