Provider Demographics
NPI:1912950379
Name:MORRIS, ERICA S (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:S
Last Name:MORRIS
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 1:3740 S MEMORIAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6700
Mailing Address - Country:US
Mailing Address - Phone:252-754-2020
Mailing Address - Fax:252-493-0100
Practice Address - Street 1:116 REGENCY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4644
Practice Address - Country:US
Practice Address - Phone:252-754-2020
Practice Address - Fax:252-493-0100
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1914152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC85921OtherMEDCOST PIN
NC34D1028252OtherCLIA NUMBER
NC093NXOtherBCBS PIN
NC89093NXMedicaid
NC562118060OtherTRICARE PIN
NC34D1028252OtherCLIA NUMBER
NCU97605Medicare UPIN