Organization Active NPI

Gary L Morgan OD PC

  • Optometrist
  • Peoria, AZ
National Provider Identifier
1073502167
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ845 Issued in AZ
Legal business name
GARY L MORGAN OD PC
Doing business as
Eye Tech Eye Associates
Practice address
18431 N 91St Ave
Suite 1
Peoria, AZ 85382-0817
Phone
(623) 933-6586
Fax
(623) 933-9320
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Ms. Sharon Glass
Title
Practice Administrator
Phone
(623) 933-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ845 AZ Primary

Addresses

Primary practice location

18431 N 91St Ave
Suite 1
Peoria, AZ 85382-0817

Mailing address

18431 N 91St Ave
Suite 1
Peoria, AZ 85382-0817
Phone (623) 933-6586

Other identifiers 1

IdentifierTypeStateIssuer
DD6558OtherAZRAILROAD MEDICARE

Other names 1

  • Eye Tech Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

18431 N 91st Ave
Peoria, AZ 85382
Phone (623) 933-6586

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1073502167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18431 N 91ST AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820817",
            "telephone_number": "623-933-6586",
            "fax_number": "623-933-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18431 N 91ST AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820817",
            "telephone_number": "623-933-6586",
            "fax_number": "623-933-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L MORGAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "623-933-6586",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6558",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Tech Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.