Individual provider Active NPI

Morgan Marie Hussmann, O.D.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1053519181
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003469A Issued in IN
Practice address
2311 W Franklin St
Evansville, IN 47712-5118
Phone
(812) 425-5131
Fax
(812) 425-5132
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003469A IN Primary

Addresses

Primary practice location

2311 W Franklin St
Evansville, IN 47712-5118

Mailing address

2311 W Franklin St
Evansville, IN 47712-5118
Phone (812) 425-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070907000306 IN Practitioner - Optometry 8224121249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niemeier Eyecare Inc.Group PAC ID 1557345873, 2 clinicians

Practice addresses (Care Compare)

2311 W Franklin St
Evansville, IN 47712-5118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003469AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Niemeier Eyecare Inc. Optometrist CurrentSince Aug 30, 2007 Accepting new patients

Locations

2311 W Franklin St
Evansville, IN 47712
Phone (812) 425-5131

Interoperability endpoints

  • Direct secure messaging: morgan.hussmann@proeyecare.direct.eyemdemr.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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1053519181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125118",
            "telephone_number": "812-425-5131",
            "fax_number": "812-425-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125118",
            "telephone_number": "812-425-5131",
            "fax_number": "812-425-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSMANN",
        "first_name": "MORGAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.