Provider Demographics
NPI:1053833541
Name:MORRISON, TINDALL DAWKINS (OD)
Entity type:Individual
Prefix:DR
First Name:TINDALL
Middle Name:DAWKINS
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 1:706 HIGHWAY 12 W STE F
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3573
Mailing Address - Country:US
Mailing Address - Phone:662-323-0571
Mailing Address - Fax:
Practice Address - Street 1:706 HIGHWAY 12 W STE F
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3573
Practice Address - Country:US
Practice Address - Phone:662-323-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS955152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist