Individual provider Active NPI

Connor Isaiah Morris, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1073223277
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1584 Issued in NE
Practice address
16161 Cass Street
Suite 200
Omaha, NE 68118-2122
Phone
(402) 493-8266
Fax
(402) 493-7085
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10797T TX
Optometrist 152W00000X 1584 NE Primary

Addresses

Primary practice location

16161 Cass Street
Suite 200
Omaha, NE 68118-2122

Mailing address

13104 W Dodge Rd
Omaha, NE 68154-2150
Phone (402) 871-6255

Other practice location 1

13104 W Dodge Rd
Omaha, NE 68154-2150
Phone (402) 493-8266

Other practice location 2

16959 Evans Plz
Omaha, NE 68116-2388
Phone (402) 289-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250117000182 NE Practitioner - Optometry 5698203776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusively Eyecare LLCGroup PAC ID 9739153677, 3 clinicians

Practice addresses (Care Compare)

13104 W Dodge Rd
Omaha, NE 68154-2150
Phone (402) 493-8266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1584NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusively Eyecare LLC Optometrist CurrentSince Jan 10, 2025 Accepting new patients

Locations

13104 W Dodge Rd
Omaha, NE 68154
Phone (402) 493-8266

16161 Cass St
Ste 200
Omaha, NE 68118
Phone (402) 493-8266

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1073223277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542150",
            "telephone_number": "402-871-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 CASS STREET",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182122",
            "telephone_number": "402-493-8266",
            "fax_number": "402-493-7085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13104 W Dodge Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542150",
            "country_code": "US",
            "telephone_number": "402-493-8266",
            "fax_number": "402-493-7085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16959 Evans Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681162388",
            "country_code": "US",
            "telephone_number": "402-289-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CONNOR",
        "middle_name": "ISAIAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10797T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.