Morris F Wilson

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

1397 Fulton St
Bklyn, NY 11216

Phone

(718) 636-5477

Fax

(718) 636-0325

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1265631055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267008",
            "telephone_number": "718-636-5477",
            "fax_number": "718-636-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 FULTON ST",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11216",
            "telephone_number": "718-636-5477",
            "fax_number": "718-636-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MORRIS",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01956298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph J. Sciortino Jr., M.D.
• Patrick Joseph Sciortino, MD
• Mahendra Sharma, MD
• Clifford D Tavroff
• Richard Weinstock, OD
• Mirel Wolf

• Optometrist in Bklyn, NY
• Providers in Bklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.