Provider Demographics
NPI:1245086636
Name:MORRISON, HANNAH PAYNE (OD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:PAYNE
Last Name:MORRISON
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 1:477 COUNTY ROAD 59
Mailing Address - Street 2:
Mailing Address - City:MOUNDVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35474-3629
Mailing Address - Country:US
Mailing Address - Phone:205-535-5571
Mailing Address - Fax:
Practice Address - Street 1:911 HARGROVE RD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-1602
Practice Address - Country:US
Practice Address - Phone:055-077-8102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X
ALS-F35-TA-D26152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program