Organization
GARY L MORGAN OD PC
Active
Other names
Eye Tech Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON GLASS (PRACTICE ADMINISTRATOR)
(623) 933-6586
Entity
Organization
Contact information
Practice address
18431 N 91ST AVE, SUITE 1, PEORIA, AZ 85382-0817
(623) 933-6586
(623) 933-9320
Mailing address
18431 N 91ST AVE, SUITE 1, PEORIA, AZ 85382-0817
(623) 933-6586
(623) 933-9320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ845
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6558
RAILROAD MEDICARE
AZ
Enumeration date
10/20/2005
Last updated
01/09/2008
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