MEDICARE: MORRISON'S SIGHT CENTER INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	D0 1212	FL

General Provider Information

NPI Number	:	1891840633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRISON'S SIGHT CENTER INC.

Provider Business Mailing Address
First Line	:	6027 CYPRESS GARDENS BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-4115
Country	:	US
Telephone Number	:	863-318-1400
Fax Number	:	863-326-5824

Provider Business Practice Location Address
First Line	:	6027 CYPRESS GARDENS BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-4115
Country	:	US
Telephone Number	:	863-318-1400
Fax Number	:	863-326-5824

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAWRENCE G. MORRISON
Credential	:	L.D.O.
Telephone Number	:	863-318-1400

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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