Individual provider Active NPI

Laurel Morris, O.D.

  • Optometrist
  • Benton, KY
National Provider Identifier
1245204304
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1469DT Issued in KY
Practice address
109 W 5TH St
Benton, KY 42025-1123
Phone
(270) 527-7421
Fax
(270) 527-3118
NPI assigned
Feb 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1469DT KY Primary
Specialist 174400000X 1469DT KY

Addresses

Primary practice location

109 W 5TH St
Benton, KY 42025-1123

Mailing address

PO Box 256
Benton, KY 42025-0256
Phone (270) 527-7421

Other identifiers 5

IdentifierTypeStateIssuer
000000200887OtherKYBLUE CROSS BLUE SHIELD
U78405OtherKYBLUEGRASS FAMILY HEALTH
7541029OtherKYAETNA
77014694MedicaidKY
419242OtherKYHEALTHLINK

Other names 1

  • Laurel Van Horn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100515000058 KY Practitioner - Optometry 8820135403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

109 W 5TH St
Benton, KY 42025-1123
Phone (270) 527-7421

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1469DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 8, 2017 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 8, 2017 Accepting new patients
20-20 Eyecare PSC Optometrist Past Accepting new patients

Locations

109 W 5th St
Benton, KY 42025
Phone (270) 527-7421

3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500

Interoperability endpoints

  • Direct secure messaging: lvanhorn@direct.eyecare-partners.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245204304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250256",
            "telephone_number": "270-527-7421",
            "fax_number": "270-527-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 5TH ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251123",
            "telephone_number": "270-527-7421",
            "fax_number": "270-527-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1469DT",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "1469DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000200887",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "U78405",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7541029",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77014694",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "419242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "VAN HORN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.