Individual
TONY R MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
100 E MAIN ST, DURAND, WI 54736
(715) 672-8981
Mailing address
P O BOX 147, DURAND, WI 54736
(715) 672-8981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2689
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03S04MO
BCBS OF MN
MN
05
—
38600800
—
WI
01
—
454K3MO
BCBS OF MN
MN
01
—
A65371016545
PREFERRED ONE
MN
Enumeration date
02/23/2006
Last updated
05/25/2018
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