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General NPI Number Information
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NPI Number | 1437304318
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Entity Type | Organization
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Legal Business Name | JEFFREY L. MORER, OD, PA
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2413 EAST LOOP 820 NORTH
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City | FORT WORTH
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State | TX
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Zip | 76118-8210
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Country | US
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Telephone | 888-964-6681
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Fax | 888-662-0859
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Provider Business Mailing Address
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Address Line | 100 CROSSING BLVD SUITE 300
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5555
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Country | US
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Telephone | 617-964-6681
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Fax | 339-686-2561
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JEFFREY L. MORER
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Credential | OD
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Telephone | 617-964-6681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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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