Individual provider Active NPI

Scot B. Morris, O.D.

  • Optometrist
  • Conifer, CO
National Provider Identifier
1013907773
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2252 Issued in CO
Practice address
27122 Main St Ste 220
Conifer, CO 80433-8559
Phone
(303) 838-9165
Fax
(303) 816-7218
NPI assigned
Oct 25, 2005
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2252 CO Primary

Addresses

Primary practice location

27122 Main St Ste 220
Conifer, CO 80433-8559

Mailing address

27122 Main St Ste 220
Conifer, CO 80433-8559
Phone (303) 838-9165

Other practice location 1

10791 Kitty Dr
Suite B
Conifer, CO 80433-7747
Phone (303) 838-9165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000042 CO Practitioner - Optometry 5092780700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27122 Main St
Suite 220
Conifer, CO 80433-8559
Phone (303) 838-9165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2252COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Colorado LLC Optometrist CurrentSince Aug 1, 2004 Accepting new patients

Locations

10791 Kitty Dr
Ste B
Conifer, CO 80433
Phone (303) 838-9165

27122 Main St
#220
Conifer, CO 80433
Phone (303) 838-9165

27122 Main St
Ste 220
Conifer, CO 80433
Phone (303) 838-9165

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1013907773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27122 MAIN ST STE 220",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804338559",
            "telephone_number": "303-838-9165",
            "fax_number": "303-816-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27122 MAIN ST STE 220",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804338559",
            "telephone_number": "303-838-9165",
            "fax_number": "303-816-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10791 Kitty Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804337747",
            "country_code": "US",
            "telephone_number": "303-838-9165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SCOT",
        "middle_name": "B.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.