Individual provider Active NPI

Laura Noles Morton, O.D.

  • Optometrist
  • Cullman, AL
National Provider Identifier
1316088313
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S858TA412 Issued in AL
Practice address
1850 Cherokee Ave SW Ste D
Cullman, AL 35055-7503
Phone
(256) 775-0499
Fax
(256) 775-0434
NPI assigned
Feb 11, 2007
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S858TA412 AL Primary

Addresses

Primary practice location

1850 Cherokee Ave SW Ste D
Cullman, AL 35055-7503

Mailing address

1850 Cherokee Ave SW Ste D
Cullman, AL 35055-7503
Phone (256) 775-0499

Other identifiers 1

IdentifierTypeStateIssuer
4044774MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000149 AL Practitioner - Optometry 6002953403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Marx Optical IncGroup PAC ID 4082733258, 7 clinicians

Practice addresses (Care Compare)

2620 Centron Dr SW
Decatur, AL 35603-2500
Phone (256) 350-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S858TA412ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marx Optical Inc CurrentSince Jul 9, 2017 Accepting new patients

Locations

2620 Centron Dr SW
Decatur, AL 35603
Phone (256) 350-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1316088313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CHEROKEE AVE SW STE D",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557503",
            "telephone_number": "256-775-0499",
            "fax_number": "256-775-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHEROKEE AVE SW STE D",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557503",
            "telephone_number": "256-775-0499",
            "fax_number": "256-775-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "LAURA",
        "middle_name": "NOLES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S858TA412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4044774",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.