Provider Demographics
NPI:1194713768
Name:MORGENSTERN, SHELDON (OD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:
Last Name:MORGENSTERN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 WEST CHINO DRIVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382
Mailing Address - Country:US
Mailing Address - Phone:623-544-1007
Mailing Address - Fax:623-584-3169
Practice Address - Street 1:9431 W CHINO DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2220
Practice Address - Country:US
Practice Address - Phone:623-544-1007
Practice Address - Fax:623-584-3169
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ160152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ60162Medicare PIN
AZT78884Medicare UPIN