Dr Larry Donavon Morrison, OD | |
785 S Highway 59, Mahnomen, MN 56557-5007 | |
(218) 936-2020 | |
(218) 935-5541 |
Full Name | Dr Larry Donavon Morrison |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 785 S Highway 59, Mahnomen, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841298445 | NPI | - | NPPES |
0559830003 | Other | MN | DMERC |
0M036MO | Other | MN | NATIONAL TRIBAL CLAIMS CE |
553P1MO | Other | MN | BCBS |
051127011 | Other | MN | METROPOLITAN HEALTH PLAN |
0M036MO | Other | MN | ZENITH ADMIN.LOCAL 49 |
410036752 | Other | MN | PALMETTO GBA |
483361046247 | Other | MN | PREFERRED ONE |
906223800 | Medicaid | MN | |
411895571101 | Other | MN | UNICARE |
2229857 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1739 (Minnesota) | Primary |
Provider Name | Morrison Eye Care Optometrists, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164517348 PECOS PAC ID: 6305821646 Enrollment ID: O20040622000143 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Donavon Morrison, OD 785 So Highway 59, P O Box 339, Mahnomen, MN 56557-5007 Ph: (218) 936-2020 | Dr Larry Donavon Morrison, OD 785 S Highway 59, Mahnomen, MN 56557-5007 Ph: (218) 936-2020 |
Dr. Michael Anthony Morrison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 785 South Highway 59, Mahnomen, MN 56557 Phone: 218-936-2020 Fax: 218-935-5541 | |
Morrison Eye Care Optometrists, P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 785 South Highway 59, Mahnomen, MN 56557 Phone: 218-936-2020 Fax: 218-936-5541 |