Individual provider Active NPI

Morgan Cornelius, OD

  • Optometrist
  • Byron Center, MI
National Provider Identifier
1467012401
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005370 Issued in MI
Practice address
2155 84TH St SW
Byron Center, MI 49315-8260
Phone
(616) 878-3600
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005370 MI Primary

Addresses

Primary practice location

2155 84TH St SW
Byron Center, MI 49315-8260

Mailing address

1843 8TH St NW
Grand Rapids, MI 49504-3906
Phone (989) 619-4147

Other practice location 1

25 N Main St
Rockford, MI 49341-1281
Phone (616) 866-3077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200612001203 MI Practitioner - Optometry 4284056631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dr Curtis Eyecare PCGroup PAC ID 3577455948, 2 clinicians
Swan Optometry Services PCGroup PAC ID 1456647320, 2 clinicians

Practice addresses (Care Compare)

2155 84TH St SW
Byron Center, MI 49315-8260
Phone (616) 878-3600

25 N Main St
Suite a
Rockford, MI 49341-1281
Phone (616) 866-3077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005370MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Curtis Eyecare, PC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Swan Optometry Services, PC Optometrist CurrentSince Sep 20, 2022 Accepting new patients
Lansing Ophthalmology, P.C. Optometrist Past Accepting new patients
Rockford Vision Services, Inc. PastSince Sep 1, 2022 Accepting new patients

Locations

2155 84th St SW
Byron Center, MI 49315
Phone (616) 878-3600

2155 84th St SW
Unit 104D
Byron Center, MI 49315

25 N Main St
Ste A
Rockford, MI 49341
Phone (616) 866-3077

25 N Main St
Rockford, MI 49341
Phone (616) 866-3077

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467012401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 8TH ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043906",
            "telephone_number": "989-619-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158260",
            "telephone_number": "616-878-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Main St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493411281",
            "country_code": "US",
            "telephone_number": "616-866-3077",
            "fax_number": "616-866-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "MORGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.