Individual provider Active NPI

Michael J Morris, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1124072871
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1487DT Issued in KY
Practice address
11901 Standiford Plaza Dr
Louisville, KY 40229-5906
Phone
(502) 968-2720
Fax
(502) 968-2721
NPI assigned
May 19, 2006
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1487DT KY Primary

Addresses

Primary practice location

11901 Standiford Plaza Dr
Louisville, KY 40229-5906

Mailing address

PO Box 667
Hillview, KY 40129-0667
Phone (502) 968-2720

Other practice location 1

545 Conestoga Pkwy
Shepherdsville, KY 40165-6666
Phone (502) 968-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060703000049 KY Practitioner - Optometry 6901818244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

1609 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-7494
Phone (270) 765-7372

4655 Outer Loop
Louisville, KY 40219-3970
Phone (502) 966-2020

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1487KYMDProfessional Counselor
1487DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Jan 29, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Vision Tek, LLC Optometrist Past Accepting new patients

Locations

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1124072871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "HILLVIEW",
            "state": "KY",
            "postal_code": "401290667",
            "telephone_number": "502-968-2720",
            "fax_number": "029-682-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-968-2720",
            "fax_number": "502-968-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Conestoga Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401656666",
            "country_code": "US",
            "telephone_number": "502-968-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1487DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.