Individual provider Active NPI

Jeanne Murphy, O.D.

  • Optometrist
  • Salisbury, MD
National Provider Identifier
1508869843
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1031 Issued in MD
Practice address
105 Pine Bluff Rd
Ste 1
Salisbury, MD 21801-7199
Phone
(410) 749-1191
Fax
(410) 749-6111
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1031 MD Primary

Addresses

Primary practice location

105 Pine Bluff Rd
Ste 1
Salisbury, MD 21801-7199

Mailing address

105 Pine Bluff Rd
Ste 1
Salisbury, MD 21801-7199
Phone (410) 749-1191

Other identifiers 1

IdentifierTypeStateIssuer
236541300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1031MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cec Surgical Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1508869843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE BLUFF RD",
            "address_2": "STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017199",
            "telephone_number": "410-749-1191",
            "fax_number": "410-749-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINE BLUFF RD",
            "address_2": "STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017199",
            "telephone_number": "410-749-1191",
            "fax_number": "410-749-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236541300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.