Individual
WILLIAM RUSSELL MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2516 COVINGTON ST, WEST LAFAYETTE, IN 47906-1404
(765) 463-4558
(765) 497-2154
Mailing address
2516 COVINGTON ST, WEST LAFAYETTE, IN 47906-1404
(765) 463-4558
(765) 497-2154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001573B
IN
Other
Enumeration date
12/03/2005
Last updated
05/15/2008
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