Individual provider Active NPI

Matthew Edward Morris, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1073744900
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2615 Issued in OK
Practice address
3101 N Sooner Rd
Edmond, OK 73034-8333
Phone
(405) 341-9480
Fax
(405) 341-9570
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2615 OK Primary

Addresses

Primary practice location

3101 N Sooner Rd
Edmond, OK 73034-8333

Mailing address

3101 N Sooner Rd
Edmond, OK 73034-8333
Phone (405) 341-9480

Other identifiers 1

IdentifierTypeStateIssuer
200267440AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100225000772 OK Practitioner - Optometry 6507900768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Morris Family Eye Care, PLLCGroup PAC ID 8729214374, 4 clinicians

Practice addresses (Care Compare)

3101 N Sooner Rd
Edmond, OK 73034-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2615OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Family Eye Care, PLLC Optometrist CurrentSince Oct 4, 2012 Accepting new patients

Locations

3101 N Sooner Rd
Edmond, OK 73034
Phone (405) 341-9480

1910 E 2nd St
Edmond, OK 73034
Phone (405) 341-9480

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1073744900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N SOONER RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348333",
            "telephone_number": "405-341-9480",
            "fax_number": "405-341-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N SOONER RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348333",
            "telephone_number": "405-341-9480",
            "fax_number": "405-341-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.