Healthcare Provider Details

I. General information

NPI: 1144140740
Provider Name (Legal Business Name): MORFIN, O.D., OPTOMETRIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 11TH ST
LAKEPORT CA
95453-4104
US

IV. Provider business mailing address

1963 WILL O VIEW CIR
LAKEPORT CA
95453-3052
US

V. Phone/Fax

Practice location:
  • Phone: 707-513-7442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELOISA A MORFIN
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 707-513-7442