Organization
TRITON CARE SYSTEMS PLLC
Active
Other names
TRITON EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LEE MORGAN OD (OWNER)
(623) 640-5390
Entity
Organization
Contact information
Practice address
3155 STILLWATER DR STE A, PRESCOTT, AZ 86305-7172
(928) 227-1738
Mailing address
3155 STILLWATER DR STE A, PRESCOTT, AZ 86305-7172
(928) 227-1738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760485874
NPI TYPE 1
—
Enumeration date
02/28/2020
Last updated
02/28/2020
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