Individual provider Active NPI

Morgan Taylor Bostic, OD

  • Optometrist
  • Millersburg, OH
National Provider Identifier
1093459992
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007039 Issued in OH
Practice address
1275 Glen Dr
Millersburg, OH 44654-8958
Phone
(330) 674-6121
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007039 OH Primary

Addresses

Primary practice location

1275 Glen Dr
Millersburg, OH 44654-8958

Mailing address

1451 Moore Rd
Wooster, OH 44691-8421
Phone (330) 205-5022

Other identifiers 1

IdentifierTypeStateIssuer
0492706MedicaidOH

Other names 1

  • Dr. Morgan Taylor Hubbard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221123000688 OH Practitioner - Optometry 6709254709 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
Family Eyecare Associates, Inc.Group PAC ID 7315088465, 2 clinicians

Practice addresses (Care Compare)

1275 Glen Dr
Millersburg, OH 44654-8958
Phone (330) 674-6121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007039OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Associates, Inc. Optometrist CurrentSince Oct 10, 2022 Accepting new patients

Locations

1275 Glen Dr
Millersburg, OH 44654
Phone (330) 674-6121

Interoperability endpoints

  • Direct secure messaging: morgan@familyeyecareassoc.emadirect.md

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1093459992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 MOORE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918421",
            "telephone_number": "330-205-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 GLEN DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548958",
            "telephone_number": "330-674-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "MORGAN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "007039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "HUBBARD",
            "middle_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.