Individual provider Active NPI

Shannon Palmer Morgan, OD

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1447816012
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006779 Issued in OH
Practice address
2045 Gilbert Ave
Cincinnati, OH 45202-1403
Phone
(513) 221-8558
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006779 OH Primary

Addresses

Primary practice location

2045 Gilbert Ave
Cincinnati, OH 45202-1403

Mailing address

2045 Gilbert Ave
Cincinnati, OH 45202-1490
Phone (513) 221-8558

Other practice location 1

4854 Hunt Rd
Blue Ash, OH 45242-6911
Phone (513) 891-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200713003618 OH Practitioner - Optometry 7416370135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cincinnati Association for the BlindGroup PAC ID 1759451529, 4 clinicians
Blue Ash Vision Center LLCGroup PAC ID 8426563057, 3 clinicians

Practice addresses (Care Compare)

2045 Gilbert Ave
Cincinnati, OH 45202-1403
Phone (513) 221-8558

4854 Hunt Rd
Blue Ash, OH 45242-6911
Phone (513) 891-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Association for the Blind CurrentSince Jul 28, 2022 Accepting new patients
Blue Ash Vision Center, LLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients

Locations

4854 Hunt Rd
Blue Ash, OH 45242
Phone (513) 891-6800

2045 Gilbert Ave
Cincinnati, OH 45202
Phone (513) 221-2195

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": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1447816012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021490",
            "telephone_number": "513-221-8558",
            "fax_number": "513-221-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021403",
            "telephone_number": "513-221-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4854 Hunt Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426911",
            "country_code": "US",
            "telephone_number": "513-891-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHANNON",
        "middle_name": "PALMER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.