Individual provider Active NPI

Timothy J. Morrison, O.D.

  • Optometrist
  • Hickory Hills, IL
National Provider Identifier
1023065000
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008092 Issued in IL
Practice address
8605 W 95TH St
Hickory Hills, IL 60457-2704
Phone
(708) 599-9095
Fax
(708) 233-9866
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008092 IL Primary

Addresses

Primary practice location

8605 W 95TH St
Hickory Hills, IL 60457-2704

Mailing address

8605 W 95TH St
Hickory Hills, IL 60457-2704
Phone (708) 599-9095

Other identifiers 1

IdentifierTypeStateIssuer
16084438OtherILBLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100520000932 IL Practitioner - Optometry 4587793062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8605 W 95TH St
Hickory Hills, IL 60457-2704
Phone (708) 599-9095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J. Morrison, OD, PC Optometrist CurrentSince Jan 1, 1994 Accepting new patients

Locations

8719 W 95th St
Hickory Hills, IL 60457
Phone (708) 599-9095

8605 W 95th St
Hickory Hills, IL 60457
Phone (708) 599-9095

1523 N Aurora Rd
Ste 115
Naperville, IL 60563
Phone (630) 579-6400

Interoperability endpoints

  • Direct secure messaging: timothymorrison@direct.revolutionehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1023065000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 W 95TH ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572704",
            "telephone_number": "708-599-9095",
            "fax_number": "708-233-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 W 95TH ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572704",
            "telephone_number": "708-599-9095",
            "fax_number": "708-233-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "16084438",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.