Organization
DURAND OPTOMETRY CLINIC LLC DBA MONDOVI EYE AND OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY RAYMOND MORRIS O.D. (OWNER)
(715) 926-4273
Entity
Organization
Contact information
Practice address
129 S. EAU CLAIRE ST., MONDOVI, WI 54755-0087
(715) 926-4273
Mailing address
PO BOX 87, MONDOVI, WI 54755-0087
(715) 926-4273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2689
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100792
MEDICA- MATERIALS
—
01
—
2216527
MEDICA -EXAM
—
05
—
38725600
—
WI
01
—
439K2MO
BCBS OF MN
MN
01
—
45861
SPECTERA
—
01
—
5681910002
DMERC
WI
Enumeration date
03/05/2007
Last updated
04/20/2008
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