Provider Demographics
NPI:1922118579
Name:MORGAN, CHRISTOPHER ZANE (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ZANE
Last Name:MORGAN
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:PO BOX 1151
Mailing Address - Street 2:1405 N. TRAVIS
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-1151
Mailing Address - Country:US
Mailing Address - Phone:903-891-3411
Mailing Address - Fax:903-891-3443
Practice Address - Street 1:1405 N TRAVIS ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3757
Practice Address - Country:US
Practice Address - Phone:903-891-3411
Practice Address - Fax:903-891-3443
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX5148TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1922118579Medicaid
U67944Medicare UPIN
TX1922118579Medicaid