Provider Demographics
NPI:1528274651
Name:TODD H. MORGAN O.D. P.A.
Entity type:Organization
Organization Name:TODD H. MORGAN O.D. P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-378-3937
Mailing Address - Street 1:2020 CATTLEMEN RD
Mailing Address - Street 2:STE 500
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6283
Mailing Address - Country:US
Mailing Address - Phone:941-378-3937
Mailing Address - Fax:941-378-1868
Practice Address - Street 1:2020 CATTLEMEN RD
Practice Address - Street 2:STE 500
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6283
Practice Address - Country:US
Practice Address - Phone:941-378-3937
Practice Address - Fax:941-378-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332H00000X
FL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19032AMedicare PIN
FL0578320001Medicare NSC