MEDICARE: CAMILLE ASHLYNN MORROW O.D.

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	2579	SC

General Provider Information

NPI Number	:	1205798006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE ASHLYNN MORROW O.D.

Provider Business Mailing Address
First Line	:	1470 TOBIAS GADSON BLVD STE 115
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4835
Country	:	US
Telephone Number	:	843-556-2020
Fax Number	:	843-763-3937

Provider Business Practice Location Address
First Line	:	1470 TOBIAS GADSON BLVD STE 115
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4835
Country	:	US
Telephone Number	:	843-556-2020
Fax Number	:	843-763-3937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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