Individual
DR. DAVID R MORGRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
331 W 1ST DR, DECATUR, IL 62521-5207
(217) 422-3881
(217) 422-3883
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
(309) 693-9542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005807323
BCBS
IL
01
—
180025768
RR MEDICARE
IL
01
—
346-000971
IL CONTROLLED SUBSTANCE
IL
Enumeration date
09/26/2006
Last updated
03/07/2023
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