Chad Christopher Raymond Morgan, O.D.
Individual provider Active NPI Optometrist · Wake Forest, NC
NPI 1295069078 · NPPES record last updated Mar 29, 2013
Key facts
- NPI
- 1295069078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2161 (NC)
- Practice address
- 110 Capcom Ave
Wake Forest, NC 27587-6531 - Phone
- (919) 556-1909
- Fax
- (919) 556-6765
- NPI assigned
- Sep 25, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2161 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aberdeen Eye Care Associates, OD PLLC | Optometrist | Past |
Accepting new patients |
| Dr Alan L Byrd & Associates OD PA | Optometrist | Past |
Accepting new patients |
| Dr Alan L Byrd & Associates at Landmark OD PA | Optometrist | Past |
Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Dr Alan L Byrd & Associates of Erwin OD PA | Optometrist | Past |
Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Dr Alan L Byrd and Associates of Angier OD PA | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2161 | NC | Yes |
Addresses
Primary practice location
110 Capcom Ave
Wake Forest, NC 27587-6531
Mailing address
7100 Six Forks Rd
Suite 301
Raleigh, NC 27615-6156
Phone (919) 847-0187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0930P | Other | NC | BLUE CROSS BLUE SHIELD NORTH CAROLINA |
| 5914237 | Medicaid | NC |
Other providers in Wake Forest, NC
- Katelyn Richelle Moore
- Matthew Moore
- Morden Logistics LLC
- Dawn Morehead
- Alyson Moret
- Koren Morgan
- Morning Glow Home Care, LLC
- Daniela Marie Morone
- Jevon Andres Morris
- Mosaic Psychological Services, PLLC
All providers in Wake Forest, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.