Provider Demographics
NPI:1255058111
Name:MORFOOT FAMILY EYE CARE LLC
Entity type:Organization
Organization Name:MORFOOT FAMILY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORFOOT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:312-752-0167
Mailing Address - Street 1:10880 N IL ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9717
Mailing Address - Country:US
Mailing Address - Phone:847-961-2020
Mailing Address - Fax:847-961-2345
Practice Address - Street 1:10880 N IL ROUTE 47
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9717
Practice Address - Country:US
Practice Address - Phone:847-961-2020
Practice Address - Fax:847-961-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty