Charles Patrick Morgan, O.D.
Individual provider Active NPI Optometrist · Gettysburg, PA
NPI 1104968049 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1104968049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000377 (PA)
- Practice address
- 1275 York Rd
Gettysburg, PA 17325-7565 - Phone
- (717) 334-3848
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3271 Route 940
Mount Pocono, PA 18344-1150
Phone (570) 895-1060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081110000730 | PA | Practitioner - Optometry | 5597824276 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000377 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpmoptometry LLC | Current |
Accepting new patients | |
| Selah Eyewear Inc. | Optometrist | Past |
Accepting new patients |
Locations
3271 Route 940
Mount Pocono, PA 18344
Phone (570) 895-4781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000377 | PA | Yes |
Addresses
Primary practice location
1275 York Rd
Gettysburg, PA 17325-7565
Mailing address
1781 Hanover Rd
Gettysburg, PA 17325-7716
Phone (717) 337-1571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001299911-001 | Medicaid | PA |
Other providers in Gettysburg, PA
- Allison Nikole Monn
- Jeffrey T Monsma
- Michele A Montenegro
- Montgomery Radiology Associates, PC
- Montgomery Radiology Associates, PC
- Robyn Michelle Morgan
- Morgenstern Chiropractic PC
- Chris Douglas Morgenstern
- Amanda Rae Morris
- Kevin Henry Mosser
All providers in Gettysburg, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.