Provider Demographics
NPI:1285707216
Name:MORELL, PATRICIA ELENA (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELENA
Last Name:MORELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 ASHLEY WAY
Mailing Address - Street 2:
Mailing Address - City:MYERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21773-8424
Mailing Address - Country:US
Mailing Address - Phone:301-293-3063
Mailing Address - Fax:
Practice Address - Street 1:71 ASHLEY WAY
Practice Address - Street 2:
Practice Address - City:MYERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21773-8424
Practice Address - Country:US
Practice Address - Phone:301-293-3063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist