Provider Demographics
NPI:1851173611
Name:DOOKIE, MORGAN
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:DOOKIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 RENAISSANCE DRIVE
Mailing Address - Street 2:
Mailing Address - City:OSHAWA
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1J8E9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1530 BATH RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:ONTARIO
Practice Address - Zip Code:K7M4X6
Practice Address - Country:CA
Practice Address - Phone:613-546-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009761152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist