Individual provider Active NPI

Azinda Morrow

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1053844837
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35089 Issued in CA
Practice address
770 Scott Blvd
Santa Clara, CA 95050-6927
Phone
(408) 296-0511
Fax
(408) 296-1647
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008868-1 NY
Optometrist 152W00000X 35089 CA Primary

Addresses

Primary practice location

770 Scott Blvd
Santa Clara, CA 95050-6927

Mailing address

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

Other practice location 1

33 W 42nd St
New York, NY 10036
Phone (212) 938-4001

Other practice location 2

3241 S Michigan Ave
Chicago, IL 60616-4201
Phone (312) 949-7751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221005002734 CA Practitioner - Optometry 4981972551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Eyecare Optometry and Contact LensesGroup PAC ID 4385735240, 7 clinicians

Practice addresses (Care Compare)

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35089CAMDOptometrist
TUV008868-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Eyecare Optometry and Contact Lenses Optometrist CurrentSince Oct 1, 2022 Accepting new patients

Locations

770 Scott Blvd
Santa Clara, CA 95050
Phone (408) 296-0511

Interoperability endpoints

  • Direct secure messaging: amorrow@siliconvalleyeyecare.eyeclinicdirect.net

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1053844837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511",
            "fax_number": "408-296-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506927",
            "telephone_number": "408-296-0511",
            "fax_number": "408-296-1647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10036",
            "country_code": "US",
            "telephone_number": "212-938-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164201",
            "country_code": "US",
            "telephone_number": "312-949-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORROW",
        "first_name": "AZINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008868-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.