Morgan, Gary L

Morgan, Gary L is an individual health care provider with primary practice located at 3155 Stillwater Dr Ste A , Prescott AZ 86305-7172. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Morgan, Gary L can be contacted via phone (928) 227-1738.

Contact Information

Primary practice address
3155 Stillwater Dr Ste A Prescott AZ 86305-7172
Phone: (928) 227-1738
Fax: (928) 583-7992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AZ845 Arizona

Profile Details

NPI number 1760485874
LBN Legal business name Morgan, Gary L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760485874 NPPES
Arizona MEDICAID 129967
Arizona Other 410022566

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