Individual provider Active NPI

Michael Morski

  • Optometrist
  • Macomb, MI
National Provider Identifier
1336874668
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005635 Issued in MI
Practice address
21780 21 Mile Rd
Macomb, MI 48044-2974
Phone
(586) 421-2020
Fax
(586) 421-2022
NPI assigned
Jul 20, 2022
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005635 MI Primary

Addresses

Primary practice location

21780 21 Mile Rd
Macomb, MI 48044-2974

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

27118 Gratiot Ave
Roseville, MI 48066-2915
Phone (586) 745-0863

Other practice location 2

1301 Coolidge Hwy
Troy, MI 48084-7017
Phone (248) 264-3608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220923000569 MI Practitioner - Optometry 9739564956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Jartll CorpGroup PAC ID 3274639596, 8 clinicians

Practice addresses (Care Compare)

21780 21 Mile Rd
Macomb, MI 48044-2974
Phone (586) 421-2020

48873 Hayes Rd
Shelby Township, MI 48315-4405
Phone (586) 247-2121

6523 Telegraph Rd
Bloomfield Hills, MI 48301-3066
Phone (248) 593-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jartll Corp Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Jartll Corp Optometrist Current Accepting new patients
Jartll Corp Optometrist Past Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Past Accepting new patients

Locations

4151 Baldwin Rd
Auburn Hills, MI 48326
Phone (248) 858-2223

6523 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 593-9955

15336 Grand River Ave
Detroit, MI 48227
Phone (313) 836-1666

Organizations & group practices 4

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1336874668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21780 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442974",
            "telephone_number": "586-421-2020",
            "fax_number": "586-421-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27118 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480662915",
            "country_code": "US",
            "telephone_number": "586-745-0863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Coolidge Hwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480847017",
            "country_code": "US",
            "telephone_number": "248-264-3608",
            "fax_number": "586-232-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSKI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.