Individual provider Active NPI

Gregory R Morgan, O.D.

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1497749956
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003829 Issued in MI
Practice address
1858 Breton Rd SE
Grand Rapids, MI 49506-4869
Phone
(616) 949-9660
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003829 MI Primary

Addresses

Primary practice location

1858 Breton Rd SE
Grand Rapids, MI 49506-4869

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20041007000094 MI Practitioner - Optometry 3375502123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

1858 Breton Rd SE
Grand Rapids, MI 49506-4869
Phone (616) 949-9660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Smeelink Acquisitions Inc Optometrist Past Accepting new patients
Smeelink Acquisitions Inc Optometrist Past Accepting new patients

Locations

6143 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 554-7775

1858 Breton Rd SE
Grand Rapids, MI 49506
Phone (616) 949-9660

6749 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 957-3099

4022 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 363-1868

2000 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 608-0466

5429 Northland Dr NE
Grand Rapids, MI 49525
Phone (616) 365-7600

4555 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-8490

803 W State St
Hastings, MI 49058
Phone (269) 945-9724

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

381 Baldwin St
Jenison, MI 49428
Phone (616) 457-4443

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

2350 44th St SE
Kentwood, MI 49508
Phone (616) 281-1011

5204 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 886-2888

1281 M 89
Plainwell, MI 49080
Phone (269) 684-1071

4482 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 791-6944

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1497749956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 BRETON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064869",
            "telephone_number": "616-949-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.