Individual
SHERELLE MCCOY MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6300 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212
(704) 535-0925
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2224
SC
152W00000X
Optometrist
Primary
2293
NC
152W00000X
Optometrist
OEG002568
PA
152WV0400X
Vision Therapy Optometrist
2293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12254632
CAQH PROVIDER ID
PA
Enumeration date
10/20/2011
Last updated
02/21/2022
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