Organization
MORRISON EYE CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K MORRISON O.D. (OPTOMETRIST)
(262) 728-2667
Entity
Organization
Contact information
Practice address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-2667
(262) 728-3539
Mailing address
PO BOX 910, DELAVAN, WI 53115-2340
(262) 728-2667
(262) 728-3539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1432
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516110
DEAN CARE
WI
Enumeration date
08/05/2007
Last updated
07/12/2013
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