Provider Demographics
NPI:1790893725
Name:MORGAN, JANA LEIGH (O D)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LEIGH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:O D
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Mailing Address - Street 1:4720 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE E
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5192
Mailing Address - Country:US
Mailing Address - Phone:205-562-8177
Mailing Address - Fax:205-562-8179
Practice Address - Street 1:4720 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE E
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5192
Practice Address - Country:US
Practice Address - Phone:205-562-8177
Practice Address - Fax:205-562-8179
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALS868TA411152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU70608Medicare UPIN