Provider Demographics
NPI:1144520891
Name:DR R DOUGAL MORRISON, LTD
Entity type:Organization
Organization Name:DR R DOUGAL MORRISON, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGAL
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-731-2233
Mailing Address - Street 1:2055 E WINDMILL LN
Mailing Address - Street 2:STE 105
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2070
Mailing Address - Country:US
Mailing Address - Phone:702-731-2233
Mailing Address - Fax:702-450-6116
Practice Address - Street 1:2055 E WINDMILL LN
Practice Address - Street 2:STE 105
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2070
Practice Address - Country:US
Practice Address - Phone:702-731-2233
Practice Address - Fax:702-450-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV0118152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0278440001Medicare NSC
NVT67309Medicare UPIN
NVEA408AMedicare PIN