Gary B Morris, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

3642592 Issued in IL

Practice address

4905 Old Orchard Ctr
Suite 430
Skokie, IL 60077-1458

Phone

(847) 674-8400

Fax

(847) 674-8465

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eye Physicians&Surgeons of Chicago,S.C.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1306955299
  Medicare reassignment NPD
• Eye Physicians&Surgeons of Chicago,S.C.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1700952793
  NPD

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1376528463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NORTH AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152203",
            "telephone_number": "847-945-4188",
            "fax_number": "847-945-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "SUITE 430",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771458",
            "telephone_number": "847-674-8400",
            "fax_number": "847-674-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "GARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "3642592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0001618089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "778910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "0342700001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Moreno Shaw, MSN,VA-BC,RN
• Ana Moreno, LPC
• Jack Morgan, MD
• Bridget Lynn Morrey, RBT
• Timothy David Morrill, ARNP, CAP
• Margaret Kennedy Morris, MA, CCC-SLP
• Michelle Doniece Morrone-Kubes, PSY.D.
• Julia Elizabeth Morrow, LSW
• Morton Miller, M.D.
• Nehama Maman Morton, LCSW

• Ophthalmology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.