Organization
DR.MICHAEL K. MORTON O.D. OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN MORTON O.D. (PRESIDENT)
(909) 885-1134
Entity
Organization
Contact information
Practice address
222 N G ST, SAN BERNARDINO, CA 92410-3269
(909) 885-1134
(909) 888-2349
Mailing address
222 N G ST, SAN BERNARDINO, CA 92410-3269
(909) 885-1134
(909) 888-2349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13533TLG
CA
Other
Enumeration date
12/02/2010
Last updated
01/05/2012
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