Active NPI
Michael Z Morabito, OD
- Optometrist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1261
- Practice address
- 88 Folly Road Blvd
Charleston, SC 29407-7551 - Phone
- (843) 573-9944
- Fax
- (843) 573-9969
- NPI assigned
- Apr 10, 2006
- Last updated
- Sep 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1261 | SC | Primary |
Addresses
Primary practice location
88 Folly Road Blvd
Charleston, SC 29407-7551
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D12617 | Medicaid | SC | |
| 200828972 | Other | SC | BLUE CROSS BLUE SHEILD |
| E1473 | Other | SC | MEDCOST |
| U952847884 | Other | SC | INSTILL HEALTH INSURANCE |
| 1261 | Other | SC | STATE OPTOMETRY LICENSE NUMBER |
| 922 | Other | SC | BLUE CHOICE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of South Carolina, LLC | Optometrist | Current | Accepting new patients |
| Vision Care Resources LLC | Optometrist | Current | Accepting new patients |
| Draisin Vision Group PA | Optometrist | Past | Accepting new patients |
| LTC Eyecare Inc | Optometrist | Past | Accepting new patients |
Locations
3050 Ashley Town Center Dr
Charleston, SC 29414
Phone (843) 460-2001
88 Folly Road Blvd
Charleston, SC 29407
Phone (843) 573-9944
1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
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.
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- Charleston, SC
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- NPI 1093679961
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- NPI 1225084676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1265495220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 FOLLY ROAD BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077551",
"telephone_number": "843-573-9944",
"fax_number": "843-573-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORABITO",
"first_name": "MICHAEL",
"middle_name": "Z",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D12617",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "200828972",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E1473",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTILL HEALTH INSURANCE",
"identifier": "U952847884",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OPTOMETRY LICENSE NUMBER",
"identifier": "1261",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE HEALTH PLAN",
"identifier": "922",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.