Active NPI
Kelsie Morrison, OD
- Optometrist
- Houston, TX
National Provider Identifier
1366825796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8660T
- Practice address
- 505 J Davis Armistead BLDG
Houston, TX 77204-2020 - Phone
- (713) 743-2020
- Fax
- (713) 743-0963
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8660T | TX | Primary |
Addresses
Primary practice location
505 J Davis Armistead BLDG
Houston, TX 77204-2020
Mailing address
505 J Davis Armistead BLDG
Houston, TX 77204-2020
Phone (713) 743-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E63G | Other | TX | MEDICARE |
Other names 1
- Kelsie Brook Wiley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8660T | TX | MD | Optometrist |
| 8660 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients |
Locations
2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
Interoperability endpoints
- kmorrison219017@prddirect.texaschildrens.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1366825796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 J DAVIS ARMISTEAD BLDG",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772042020",
"telephone_number": "713-743-2020",
"fax_number": "713-743-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 J DAVIS ARMISTEAD BLDG",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772042020",
"telephone_number": "713-743-2020",
"fax_number": "713-743-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "KELSIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8660T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00E63G",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELSIE",
"last_name": "WILEY",
"middle_name": "BROOK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.