Healthcare Provider Details

I. General information

NPI: 1477054997
Provider Name (Legal Business Name): MORGAN MACKENZIE HARVEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 ILLINOIS STREET, FLOOR 2
SAN FRANCISCO CA
94158
US

IV. Provider business mailing address

US FLEET FORCES COMMAND 1562 MITCHER AVENUE SUITE 250
NORFOLK VA
23551-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2020
  • Fax: 415-353-4250
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA207271
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101267504
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: