Individual
DR. MICHELLE MORRIS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
264 HIGHWAY 641 N, CAMDEN, TN 38320-1329
(731) 584-7942
(731) 584-7965
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001677
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004006095
TENNCARE SELECT
TN
01
—
200721045
OMNICARE
TN
01
—
200721045001
TRICARE
TN
05
—
3723849
—
TN
01
—
4266337
CIGNA
TN
01
—
5848609
AETNA
TN
01
—
P00193746
RAILROAD MEDICARE
TN
Enumeration date
08/19/2005
Last updated
10/05/2022
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