Basic Information
| Provider Information | |||||||||
| NPI: | 1700540705 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MORIN EYE CARE, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23 ROCKY HILL RD | ||||||||
| Address2: | |||||||||
| City: | HADLEY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010359796 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136264971 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7 HADLEY ST STE 1 | ||||||||
| Address2: | |||||||||
| City: | SOUTH HADLEY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010751058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135366100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2021 | ||||||||
| LastUpdateDate: | 10/26/2021 | ||||||||
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| AuthorizedOfficialLastName: | MORIN | ||||||||
| AuthorizedOfficialFirstName: | MELISSA | ||||||||
| AuthorizedOfficialMiddleName: | MARQUES | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4136264971 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
| NPICertificationDate: | 10/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.