Organization Active NPI

Murray Vision Source Inc

  • Optometrist
  • Dothan, AL
National Provider Identifier
1013226471
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S900TA450 Issued in AL
Legal business name
MURRAY VISION SOURCE INC
Practice address
550 John D Odom Rd
Dothan, AL 36303-9461
Phone
(334) 699-5999
Fax
(334) 479-0631
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel E Murray Jr., O. D.NPI 1477545770
Title
Owner/President
Phone
(334) 699-5999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S900TA450 AL Primary

Addresses

Primary practice location

550 John D Odom Rd
Dothan, AL 36303-9461

Mailing address

550 John D Odom Rd
Dothan, AL 36303-9461
Phone (334) 699-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000798 AL Part B Supplier - Clinic/Group Practice 3375722176 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Locations

5630 W Main St
Ste 5
Dothan, AL 36305
Phone (334) 699-5999

Interoperability endpoints

  • Direct secure messaging: danielmurray@murrayvisions.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1013226471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-699-5999",
            "fax_number": "334-479-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-699-5999",
            "fax_number": "334-479-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY VISION SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "334-699-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S900TA450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.