Provider Demographics
NPI:1699734822
Name:MORRIS, JOSEPH R (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:MORRIS
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:33424 BUNKER HILL LN
Mailing Address - Street 2:UNIT 4
Mailing Address - City:GLADE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24340-5114
Mailing Address - Country:US
Mailing Address - Phone:276-429-5312
Mailing Address - Fax:276-429-4389
Practice Address - Street 1:33424 BUNKER HILL LN
Practice Address - Street 2:UNIT 4
Practice Address - City:GLADE SPRING
Practice Address - State:VA
Practice Address - Zip Code:24340-5114
Practice Address - Country:US
Practice Address - Phone:276-429-5312
Practice Address - Fax:276-429-4389
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0601000671152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist