Organization
KEVIN L MORRIS OD PC
Active
Parent organization
KEVIN L MORRIS OD PC
Other names
Family Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEVIN L MORRIS OD PC
Authorized official
DR. KEVIN LANE MORRIS OD (PRESIDENT)
(505) 341-1010
Entity
Organization
Contact information
Practice address
1701 MOON ST NE, SUITE 100, ALBUQUERQUE, NM 87112-3900
(505) 341-1010
Mailing address
8621 LAS CAMAS RD NE, ALBUQUERQUE, NM 87111-2342
(505) 341-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2426
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008813
LOVELACE HEALTH PLAN
—
05
—
80939848
—
NM
01
—
DO7105
RAILROAD MEDICARE
—
Enumeration date
07/07/2008
Last updated
06/24/2009
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