Individual provider Active NPI

Troy W Morgan, OD

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1093855827
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001629 Issued in VA
Practice address
2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776
Phone
(757) 963-6304
Fax
(757) 600-4191
NPI assigned
Feb 8, 2007
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001629 VA Primary

Addresses

Primary practice location

2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776

Mailing address

2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776
Phone (757) 963-6304

Other identifiers 2

IdentifierTypeStateIssuer
1093855827MedicaidVA
1093855827OtherVAANTHEM BCBS OF VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070613000363 VA Practitioner - Optometry 0143328294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4540 Princess Anne Rd
Suite 125
Virginia Beach, VA 23462-7964
Phone (757) 963-6304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001629VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Vision Care, PC CurrentSince Nov 10, 2009 Accepting new patients
Hal W Breedlove OD PC Optometrist Past Accepting new patients

Locations

2020 S Independence Blvd
Ste 4
Virginia Beach, VA 23453
Phone (757) 963-6304

4540 Princess Anne Rd
Ste 125
Virginia Beach, VA 23462
Phone (757) 963-6304

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1093855827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-963-6304",
            "fax_number": "757-600-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-963-6304",
            "fax_number": "757-600-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TROY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093855827",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "1093855827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.