Individual provider Active NPI

Hunter Jay Morgan, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1023547221
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008566-1 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 590-1800
NPI assigned
Jun 9, 2017
Last updated
Jun 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008566-1 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

490 Hopewell Rd
Fairmont, WV 26554-5559
Phone (304) 677-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180718001566 NY Practitioner - Optometry 8022365352 Reassigns benefits to 1 organization
I20210908000446 CA Practitioner - Optometry 8022365352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Vision Center Optometry IncGroup PAC ID 2466858014, 4 clinicians

Practice addresses (Care Compare)

6949 El Camino Real
Suite 105
Carlsbad, CA 92009-4140
Phone (304) 677-3776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008566-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Vision Center Optometry Inc Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Vista Optometry and Ophthalmic Dispensing Care PLLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Howard Levy O D Inc Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Dr. Mozlin Optometrist Past Accepting new patients

Locations

6949 El Camino Real
Ste 105
Carlsbad, CA 92009
Phone (304) 677-3776

205 S El Camino Real
Ste A
Encinitas, CA 92024
Phone (760) 944-7177

3525 Del Mar Heights Rd
#1953
San Diego, CA 92130

3525 Del Mar Heights Rd
Ste 1953
San Diego, CA 92130

817 W 181st St
New York, NY 10033
Phone (212) 257-3308

Organizations & group practices 4

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1023547221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 HOPEWELL RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545559",
            "telephone_number": "304-677-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-590-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "HUNTER",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.