Organization Active NPI

Morfoot Family Eye Care LLC

  • Optometrist
  • Huntley, IL
National Provider Identifier
1255058111
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MORFOOT FAMILY EYE CARE LLC
Practice address
10880 N Il Route 47
Huntley, IL 60142-9717
Phone
(847) 961-2020
Fax
(847) 961-2345
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Charlene L Morfoot, ODNPI 1073798773
Title
Manager
Phone
(312) 752-0167

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10880 N Il Route 47
Huntley, IL 60142-9717

Mailing address

10880 N Il Route 47
Huntley, IL 60142-9717
Phone (847) 961-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124002536 IL Part B Supplier - Clinic/Group Practice 5395116677 Receives reassigned benefits from 2 practitioners
Practice locations: Huntley, IL

National Provider Directory

National Provider Directory

Locations

10880 N Il Route 47
Huntley, IL 60142
Phone (847) 961-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1255058111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-961-2020",
            "fax_number": "847-961-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-961-2020",
            "fax_number": "847-961-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORFOOT FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MORFOOT",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-752-0167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.