Provider Demographics
NPI:1649352741
Name:MORROW, MARTHA R (OD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:R
Last Name:MORROW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-1177
Mailing Address - Country:US
Mailing Address - Phone:256-332-5440
Mailing Address - Fax:256-332-5402
Practice Address - Street 1:15255 HIGHWAY 43
Practice Address - Street 2:SUITE 1
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-1924
Practice Address - Country:US
Practice Address - Phone:256-332-5440
Practice Address - Fax:256-332-5402
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS339TA144152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL410031311OtherRAILROAD MEDICARE
AL051059364OtherBCBS OF AL
AL051527545OtherBCBS OF AL
AL0550110002OtherPALMETTO
AL051527544OtherBCBS OF AL
AL000059364Medicaid
AL051527544OtherBCBS OF AL
AL410031311OtherRAILROAD MEDICARE
AL0550110002OtherPALMETTO