Active NPI
David William Morrisse, O.D.
- Optometrist
- Gardendale, AL
National Provider Identifier
1033223664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S994TA569
- Practice address
- 890 Odum Rd
Gardendale, AL 35071-4617 - Phone
- (205) 631-2328
- Fax
- (205) 631-2234
- NPI assigned
- Aug 19, 2006
- Last updated
- Nov 18, 2009
- Sex
- Male
- 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 | S994TA569 | AL | Primary |
Addresses
Primary practice location
890 Odum Rd
Gardendale, AL 35071-4617
Mailing address
133 High Crest Rd
Pelham, AL 35124-2513
Phone (205) 259-9051
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S994TA569 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1033223664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 HIGH CREST RD",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242513",
"telephone_number": "205-259-9051",
"fax_number": "205-631-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 ODUM RD",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350714617",
"telephone_number": "205-631-2328",
"fax_number": "205-631-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSE",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S994TA569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.