Individual provider Active NPI

Kathleen Morley, DOCTOR OF OPTOMETRY

  • Optometrist
  • Chicago, IL
National Provider Identifier
1407086663
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010258 Issued in IL
Practice address
7305 W Irving Park Rd
Chicago, IL 60634-3547
Phone
(773) 589-1935
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010258 IL Primary

Addresses

Primary practice location

7305 W Irving Park Rd
Chicago, IL 60634-3547

Mailing address

6116 N Kilbourn Ave
Chicago, IL 60646-5020
Phone (773) 484-7799

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046010258ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1407086663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 N KILBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465020",
            "telephone_number": "773-484-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343547",
            "telephone_number": "773-589-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLEY",
        "first_name": "KATHLEEN",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.