Individual provider Active NPI

Jeffery Alexander Morrow, O. D.

  • Optometrist
  • Mobile, AL
National Provider Identifier
1437120219
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S840TA387 Issued in AL
Practice address
610 Providence Park Dr E
BLDG. 2, Suite 202
Mobile, AL 36695-4622
Phone
(251) 635-0919
Fax
(251) 635-0924
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S840TA387 AL Primary

Addresses

Primary practice location

610 Providence Park Dr E
BLDG. 2, Suite 202
Mobile, AL 36695-4622

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 635-0919

Other identifiers 4

IdentifierTypeStateIssuer
2421947OtherALUNITED HEALTHCARE PROV #
U78322OtherALHEALTHSPRING PROVIDER #
51003251OtherALBLUE CROSS PROVIDER #
7222594OtherALAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000492 AL Practitioner - Optometry 5092793786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

610 Providence Park Dr E
Suite 203
Mobile, AL 36695-4618
Phone (251) 635-0919

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S840TA387ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. CurrentSince Mar 15, 2006 Accepting new patients
Premier Health Management, Inc. Optometrist CurrentSince Mar 15, 2006 Accepting new patients
Doctors West & Associates, LLC Optometrist PastSince Oct 14, 2013 Accepting new patients

Locations

610 Providence Park Dr E
Ste 202
Mobile, AL 36695
Phone (251) 635-0919

610 Providence Park Dr E
Ste 203
Mobile, AL 36695
Phone (251) 633-2667

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

Organizations & group practices 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1437120219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-635-0919",
            "fax_number": "251-635-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E",
            "address_2": "BLDG. 2, SUITE 202",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954622",
            "telephone_number": "251-635-0919",
            "fax_number": "251-635-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "JEFFERY",
        "middle_name": "ALEXANDER",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S840TA387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "2421947",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER #",
            "identifier": "U78322",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51003251",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7222594",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.