Active NPI
Jeffery Alexander Morrow, O. D.
- Optometrist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S840TA387
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2421947 | Other | AL | UNITED HEALTHCARE PROV # |
| U78322 | Other | AL | HEALTHSPRING PROVIDER # |
| 51003251 | Other | AL | BLUE CROSS PROVIDER # |
| 7222594 | Other | AL | AETNA 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
Enrollment records 1
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
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 100
- Quality
- 81.75
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S840TA387 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Management, Inc. | Current | Accepting new patients | |
| Premier Health Management, Inc. | Optometrist | Current | Accepting new patients |
| Doctors West & Associates, LLC | Optometrist | Past | 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.
-
- Optometrist
- Mobile, AL
- NPI 1922177138
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.