Active NPI
Dr Kristina Morris LLC
- Optometrist
- Bloomington, IN
National Provider Identifier
1174647846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002665B
- Legal business name
- DR KRISTINA MORRIS LLC
- Practice address
- 4619 W Richland Plaza Dr
Bloomington, IN 47404-9776 - Phone
- (812) 332-3937
- Fax
- (812) 336-7697
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristina Morris, OD
- Title
- Owner
- Phone
- (812) 332-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002665B | IN | Primary |
Addresses
Primary practice location
4619 W Richland Plaza Dr
Bloomington, IN 47404-9776
Mailing address
4619 W Richland Plaza Dr
Bloomington, IN 47404-9776
Phone (812) 332-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200412960 | Medicaid | IN |
Other names 1
- Dr Kristina Morris and Lithia Jimenez
National Provider Directory
National Provider DirectoryLocations
4619 W Richland Plaza Dr
Bloomington, IN 47404
Phone (812) 332-3937
3510 W State Road 46
Bloomington, IN 47404
Phone (812) 332-3937
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bloomington, IN
- NPI 1174364178
-
- Optometrist
- Bloomington, IN
- NPI 1902382872
-
- Optometrist
- Bloomington, IN
- NPI 1932241072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1174647846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 W RICHLAND PLAZA DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049776",
"telephone_number": "812-332-3937",
"fax_number": "812-336-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 W RICHLAND PLAZA DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474049776",
"telephone_number": "812-332-3937",
"fax_number": "812-336-7697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR KRISTINA MORRIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-332-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18002665B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200412960",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Kristina Morris and Lithia Jimenez",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.