Active NPI
Elliott and Morlan LLC
- Optometrist
- South Bend, IN
National Provider Identifier
1487734471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003001B
- Legal business name
- ELLIOTT AND MORLAN LLC
- Practice address
- 220 N Ironwood Dr
South Bend, IN 46615-2518 - Phone
- (574) 233-2626
- Fax
- (574) 280-7355
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas D Morlan, O.D.
- Title
- Optometrist/Owner
- Phone
- (574) 233-2626
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003001B | IN | Primary |
| Optometrist | 152W00000X | 18001717B | IN |
Addresses
Primary practice location
220 N Ironwood Dr
South Bend, IN 46615-2518
Mailing address
220 N Ironwood Dr
South Bend, IN 46615-2518
Phone (574) 233-2626
Other names 1
- Optometric Associates
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- South Bend, IN
- NPI 1083614267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487734471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N IRONWOOD DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152518",
"telephone_number": "574-233-2626",
"fax_number": "574-280-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N IRONWOOD DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152518",
"telephone_number": "574-233-2626",
"fax_number": "574-280-7355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIOTT AND MORLAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORLAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "574-233-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18003001B",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18001717B",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optometric Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.