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NPI 1205161122

NPI 1205161122 : MORGAN VISION CARE, PC : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1205161122
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORGAN VISION CARE, PC 
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Dates
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    Enumeration Date     |    10/09/2009
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    Last Update Date     |    08/16/2021
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Provider Practice Location Address
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    Address Line         |    2020 S INDEPENDENCE BLVD STE 4 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23453-4776
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    Country              |    US
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    Telephone            |    757-963-6304
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    Fax                  |    757-600-4191
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Provider Business Mailing Address
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    Address Line         |    2020 S INDEPENDENCE BLVD STE 4 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23453-4776
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    Country              |    US
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    Telephone            |    757-963-6304
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    Fax                  |    757-600-4191
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. TROY  MORGAN 
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    Credential           |    O.D.
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    Telephone            |    757-963-6304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    0618001629
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    License Number State |    VA
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