Organization Active NPI

Morgan Vision Care, PC

  • Health Maintenance Organization
  • Virginia Beach, VA
National Provider Identifier
1205161122
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0618001629 Issued in VA
Legal business name
MORGAN VISION CARE, PC
Practice address
2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776
Phone
(757) 963-6304
Fax
(757) 600-4191
NPI assigned
Oct 9, 2009
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dr. Troy Morgan, O.D.NPI 1093855827
Title
Optometrist
Phone
(757) 963-6304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 0618001629 VA Primary

Addresses

Primary practice location

2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776

Mailing address

2020 S Independence Blvd Ste 4
Virginia Beach, VA 23453-4776
Phone (757) 963-6304

Other identifiers 2

IdentifierTypeStateIssuer
1093855827MedicaidVA
1205161122OtherVAANTHEM BCBS OF VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000730 VA Part B Supplier - Clinic/Group Practice 4880736933 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

2020 S Independence Blvd
Ste 4
Virginia Beach, VA 23453
Phone (757) 963-6304

4540 Princess Anne Rd
Ste 125
Virginia Beach, VA 23462
Phone (757) 963-6304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1205161122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-963-6304",
            "fax_number": "757-600-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-963-6304",
            "fax_number": "757-600-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "757-963-6304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0618001629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093855827",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "1205161122",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.