NPIMap

Organization Active NPI

Douglas C Morrow OD PC

  • Optometrist
  • Auburn, IN
National Provider Identifier
1285769810
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001991A Issued in IN
Legal business name
DOUGLAS C MORROW OD PC
Practice address
1212 N Main St
Auburn, IN 46706-1232
Phone
(260) 925-1916
Fax
(260) 925-2632
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Douglas C Morrow, ODNPI 1427056829
Title
Owner
Phone
(260) 925-1916

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 18001991A IN Primary

Addresses

Primary practice location

1212 N Main St
Auburn, IN 46706-1232

Mailing address

1212 N Main St
PO Box 544
Auburn, IN 46706-1232
Phone (260) 925-1916

Other identifiers 1

IdentifierTypeStateIssuer
200404470AMedicaidIN

Other names 1

  • Auburn Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040910000770 IN Part B Supplier - Clinic/Group Practice 8022085091 Receives reassigned benefits from 6 practitioners
Practice locations: Auburn, IN; Garrett, IN; Lagrange, IN
O20100930096044 IN DME Supplier - Physician - Optometrist 8022085091 Practice locations: Auburn, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Douglas C Morrow OD PC1212 N Main St, Auburn, IN 46706-0544(260) 925-1916 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 24, 2003

National Provider Directory

National Provider Directory

Locations

110 N Randolph St
Garrett, IN 46738
Phone (219) 357-6261

100 S Randolph St
Garrett, IN 46738
Phone (260) 357-4022

Practitioners & affiliated clinicians

Practitioners 8

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1285769810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N MAIN ST",
            "address_2": "PO BOX 544",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061232",
            "telephone_number": "260-925-1916",
            "fax_number": "260-925-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N MAIN ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061232",
            "telephone_number": "260-925-1916",
            "fax_number": "260-925-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C MORROW OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-925-1916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001991A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200404470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.