Active NPI
Robert Royston Morrison
- Optometrist
- Forest City, IA
National Provider Identifier
1376587253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1505T
- Practice address
- 139 East K Street
Forest City, IA 50436-1501 - Phone
- (641) 585-3590
- Fax
- (641) 585-4058
- NPI assigned
- Jun 15, 2006
- Last updated
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1505T | IA | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083535 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1505T | IA | MD | Optometrist |
| 1505 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1376587253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504360370",
"telephone_number": "641-585-3590",
"fax_number": "641-585-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 EAST K STREET",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504361501",
"telephone_number": "641-585-3590",
"fax_number": "641-585-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "ROBERT",
"middle_name": "ROYSTON",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1505T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0083535",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.