Organization Active NPI

Kevin L Morris OD PC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1164685558
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2426 Issued in NM
Legal business name
KEVIN L MORRIS OD PC
Doing business as
Family Eye Care
Practice address
1701 Moon St NE
Suite 100
Albuquerque, NM 87112-3900
Phone
(505) 341-1010
NPI assigned
Jul 7, 2008
Organization subpart
Yes
Parent organization
KEVIN L MORRIS OD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Kevin Lane Morris, OD
Title
President
Phone
(505) 341-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2426 NM Primary

Addresses

Primary practice location

1701 Moon St NE
Suite 100
Albuquerque, NM 87112-3900

Mailing address

8621 Las Camas Rd NE
Albuquerque, NM 87111-2342
Phone (505) 341-1010

Other identifiers 3

IdentifierTypeStateIssuer
80939848MedicaidNM
DO7105OtherRAILROAD MEDICARE
10008813OtherLOVELACE HEALTH PLAN

Other names 1

  • Family Eye Care Doing business as

National Provider Directory

National Provider Directory
Part of
Kevin L Morris OD PC

Locations

1701 Moon St NE
Ste 100
Albuquerque, NM 87112
Phone (505) 341-1010

1629 Bowe Ln SW
Albuquerque, NM 87105
Phone (505) 280-7370

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1164685558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 LAS CAMAS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112342",
            "telephone_number": "505-341-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MOON ST NE",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123900",
            "telephone_number": "505-341-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L MORRIS OD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEVIN L MORRIS OD PC",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-341-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80939848",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO7105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN",
            "identifier": "10008813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.