Morillo Eye Associates

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

27OA00566200 Issued in NJ

Legal business name

MORILLO EYE ASSOCIATES

Practice address

875 Broad St
Newark, NJ 07102-2622

Phone

(973) 622-4492

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Diego Morillo

Title

President

Phone

(201) 206-3409

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1144475005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622",
            "telephone_number": "973-622-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORILLO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MORILLO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-206-3409"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00566200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "4492662",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8277508",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "29726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachery James Moran
• Sara Morelli, MD
• Luz M Moreno, RDH
• Kobie Blair Morgan, LPC
• Mary Elizabeth Morgan, MD
• Christian Andres Morillo, O.D.
• Diego Xavier Morillo, OD
• Nicoll Morillo
• Harini Morisetty, DO
• Faten Farid Morkos, M.D.

• All providers in Newark, NJ
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.