Healthcare Provider Details

I. General information

NPI: 1942125463
Provider Name (Legal Business Name): BRANDI MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 AIRPORT RD
ARDEN NC
28704-9405
US

IV. Provider business mailing address

60 AIRPORT RD
ARDEN NC
28704-9405
US

V. Phone/Fax

Practice location:
  • Phone: 828-684-6806
  • Fax: 828-684-6667
Mailing address:
  • Phone: 828-684-6806
  • Fax: 828-684-6667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number1859
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: