Healthcare Provider Details

I. General information

NPI: 1689513426
Provider Name (Legal Business Name): JAMES TYBIRIUS MORRISON OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 FISHER ST
BILOXI MS
39534-2508
US

IV. Provider business mailing address

1607 BURGIE ST
ELIZABETHTON TN
37643-2814
US

V. Phone/Fax

Practice location:
  • Phone: 228-376-0449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618003632
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: