Active NPI
Yvonne J Morrisey, O.D.
- Optometrist
- Canon City, CO
National Provider Identifier
1033163472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2021
- Practice address
- 1145 Ohio Ave
Canon City, CO 81212-2278 - Phone
- (719) 275-7481
- Fax
- (719) 275-0059
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2021 | CO | Primary |
Addresses
Primary practice location
1145 Ohio Ave
Canon City, CO 81212-2278
Mailing address
27 Montebello Rd
Pueblo, CO 81001-1236
Phone (719) 545-1530
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608439600 | Other | CO | US DEPT OF LABOR WORK COM |
| 1984880 | Other | CO | UNITED HEALTHCARE |
| 92008310884 | Other | CO | EYE SPECIALISTS |
| P00314904 | Other | CO | RAILROAD MEDICARE |
| 0452890001 | Other | CO | MEDICARE DMERC |
| 38103273 | Medicaid | CO | |
| 952791 | Other | CO | EYEMED EYE |
| MOY64360 | Other | CO | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1033163472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MONTEBELLO RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011236",
"telephone_number": "719-545-1530",
"fax_number": "719-545-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 OHIO AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122278",
"telephone_number": "719-275-7481",
"fax_number": "719-275-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISEY",
"first_name": "YVONNE",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR WORK COM",
"identifier": "608439600",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1984880",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE SPECIALISTS",
"identifier": "92008310884",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00314904",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "0452890001",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38103273",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED EYE",
"identifier": "952791",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "MOY64360",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.