Individual
YVONNE J MORRISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1145 OHIO AVE, CANON CITY, CO 81212-2278
(719) 275-7481
(719) 275-0059
Mailing address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2021
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0452890001
MEDICARE DMERC
CO
01
—
1984880
UNITED HEALTHCARE
CO
05
—
38103273
—
CO
01
—
608439600
US DEPT OF LABOR WORK COM
CO
01
—
92008310884
EYE SPECIALISTS
CO
01
—
952791
EYEMED EYE
CO
01
—
MOY64360
ANTHEM
CO
01
—
P00314904
RAILROAD MEDICARE
CO
Enumeration date
05/20/2006
Last updated
12/06/2012
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