MEDICARE: DR R DOUGAL MORRISON, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	NV0118	NV

General Provider Information

NPI Number	:	1144520891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR R DOUGAL MORRISON, LTD

Provider Business Mailing Address
First Line	:	2055 E WINDMILL LN
Second Line	:	STE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2070
Country	:	US
Telephone Number	:	702-731-2233
Fax Number	:	702-450-6116

Provider Business Practice Location Address
First Line	:	2055 E WINDMILL LN
Second Line	:	STE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2070
Country	:	US
Telephone Number	:	702-731-2233
Fax Number	:	702-450-6116

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	DR. ROBERT DOUGAL MORRISON
Credential	:	O.D.
Telephone Number	:	702-731-2233

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	12/04/2012

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