Robert Royston Morrison
Individual provider Active NPI Optometrist · Forest City, IA
NPI 1376587253 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1376587253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1505T (IA)
- Practice address
- 139 East K Street
Forest City, IA 50436-1501 - Phone
- (641) 585-3590
- Fax
- (641) 585-4058
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1505T | IA | MD | Optometrist |
| 1505 | IA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1505T | IA | Yes |
Addresses
Primary practice location
139 East K Street
Forest City, IA 50436-1501
Mailing address
PO Box 370
Forest City, IA 50436-0370
Phone (641) 585-3590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083535 | Medicaid | IA |
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. 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.