Provider Demographics
NPI:1841219771
Name:MORGAN, LINDA A (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13923 GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2379
Mailing Address - Country:US
Mailing Address - Phone:402-558-2211
Mailing Address - Fax:402-558-3456
Practice Address - Street 1:13923 GOLD CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:402-558-2211
Practice Address - Fax:402-558-3456
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1191152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47084218401Medicaid
NE280719OtherMEDICARE
NE280719OtherMEDICARE