NPIMap

Organization Active NPI

Morrell Optical Inc

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1063834141
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MORRELL OPTICAL INC
Practice address
3810 Morrell Ave
Philadelphia, PA 19114-1915
Phone
(215) 632-6698
Fax
(215) 568-0661
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
William Nigro
Title
Ceo
Phone
(215) 632-6698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3810 Morrell Ave
Philadelphia, PA 19114-1915

Mailing address

3810 Morrell Ave
Philadelphia, PA 19114-1915
Phone (215) 632-6698

National Provider Directory

National Provider Directory
Part of
Morrell Optical Inc

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1063834141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141915",
            "telephone_number": "215-632-6698",
            "fax_number": "215-568-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141915",
            "telephone_number": "215-632-6698",
            "fax_number": "215-568-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRELL OPTICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "NIGRO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-632-6698"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.