Active NPI
Kevin L Morris OD PC
- Optometrist
- Albuquerque, NM
National Provider Identifier
1164685558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2426
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80939848 | Medicaid | NM | |
| DO7105 | Other | RAILROAD MEDICARE | |
| 10008813 | Other | LOVELACE HEALTH PLAN |
Other names 1
- Family Eye Care
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.
-
- Optometrist
- Albuquerque, NM
- NPI 1770758237
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.