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Individual

MICHAEL J MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
11901 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5906
(502) 968-2720
(502) 968-2721
Mailing address
PO BOX 667, HILLVIEW, KY 40129-0667
(502) 968-2720
(029) 682-7215

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1487DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77000552
KY
Enumeration date
05/19/2006
Last updated
04/29/2019
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