Provider Demographics
NPI:1750310686
Name:MORSE, SIDNEY FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:FRANK
Last Name:MORSE
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 1:3 S TUNNEL RD
Mailing Address - Street 2:SPACE K-4
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2238
Mailing Address - Country:US
Mailing Address - Phone:828-299-0055
Mailing Address - Fax:828-299-4331
Practice Address - Street 1:3 S TUNNEL RD
Practice Address - Street 2:SPACE K4
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2238
Practice Address - Country:US
Practice Address - Phone:828-299-0055
Practice Address - Fax:828-299-4331
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1288152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC410045522OtherRAIL ROAD MEDICARE
NC09647OtherBCBS OF NC
NCU02863Medicare UPIN
NC2467052AMedicare PIN
NC410045522OtherRAIL ROAD MEDICARE
NC410045522Medicare ID - Type UnspecifiedRAILROAD MEDICARE