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NPI Code Detail

MEDICARE: DR. REBECCA MORFORD O.D.

MEDICARE:  DR. REBECCA  MORFORD  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG001301PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103831-001OTHERPADAVIS VISION
2205052/102386OTHERPAEYEMED/ COLE
3656619OTHERPABC/BS INDIVIDUAL
42529139OTHERPAAETNA INDIVIDUAL
5106109OTHERPABC/BS GROUP
6396975OTHERPANVA GROUP
701611137OTHERPAGATEWAY
82077435OTHERPAAETNA GROUP
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
102518269522A12OTHERPAANTHEM PIN
110016689/ 014829OTHERPADORAL VISION
122518269522A00OTHERPAANTHEM GROUP

General Provider Information

NPI Number : 1851372445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA MORFORD O.D.
Provider Business Mailing Address
First Line : 190 BEACON RD
Second Line :
City : RENFREW
State : PA
Zip : 16053-1206
Country : US
Telephone Number : 724-822-6179
Fax Number :
Provider Business Practice Location Address
First Line : 101 CLEARVIEW CIR
Second Line : BOSCOV'S OPTICAL
City : BUTLER
State : PA
Zip : 16001-1576
Country : US
Telephone Number : 724-285-2139
Fax Number : 724-283-2084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 01/07/2008

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