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General NPI Number Information
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NPI Number | 1093898413
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Entity Type | Organization
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Legal Business Name | HALIFAX EYE CARE CENTER INC
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 521 WEBSTER ST
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City | SOUTH BOSTON
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State | VA
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Zip | 24592
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Country | US
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Telephone | 434-572-9500
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Fax | 434-575-1333
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Provider Business Mailing Address
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Address Line | 521 WEBSTER ST
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City | SOUTH BOSTON
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State | VA
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Zip | 24592
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Country | US
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Telephone | 434-572-9500
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Fax | 434-575-1333
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Authorized Official
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Title or Position | OWNER
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Name | MARK J MORRIS
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Credential | MD
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Telephone | 434-572-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0601000442
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | VA
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