Individual provider Active NPI

Charles Patrick Morgan, O.D.

  • Optometrist
  • Gettysburg, PA
National Provider Identifier
1104968049
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000377 Issued in PA
Practice address
1275 York Rd
Gettysburg, PA 17325-7565
Phone
(717) 334-3848
NPI assigned
Feb 13, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000377 PA Primary

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 1

IdentifierTypeStateIssuer
001299911-001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081110000730 PA Practitioner - Optometry 5597824276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000377PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cpmoptometry LLC CurrentSince Jan 29, 2019 Accepting new patients
Selah Eyewear Inc. Optometrist PastSince Oct 22, 2023 Accepting new patients

Locations

3271 Route 940
Mount Pocono, PA 18344
Phone (570) 895-4781

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1104968049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 HANOVER RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257716",
            "telephone_number": "717-337-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257565",
            "telephone_number": "717-334-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299911-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.