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General NPI Number Information
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NPI Number | 1164517348
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Entity Type | Organization
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Legal Business Name | MORRISON EYE CARE OPTOMETRISTS, P.A.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1244 WASHINGTON AVE
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City | DETROIT LAKES
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State | MN
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Zip | 56501-3906
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Country | US
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Telephone | 218-847-2020
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Fax | 218-847-6165
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | DETROIT LAKES
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State | MN
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Zip | 56502-0266
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Country | US
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Telephone | 218-847-2020
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Fax | 218-847-6165
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL ANTHONY MORRISON
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Credential | OD
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Telephone | 218-847-2020
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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 |
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License Number State |
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