Timothy J. Morrison, OD, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

046-008092 Issued in IL

Legal business name

TIMOTHY J. MORRISON, OD, PC

Practice address

8605 W 95TH St
Hickory Hills, IL 60457-2704

Phone

(708) 599-9095

Fax

(708) 233-9866

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J. Morrison, O.D.NPI 1023065000

Title

Owner

Phone

(708) 599-9095

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J. Morrison, O.D.

  • Optometrist
  • Hickory Hills, IL
  • NPI 1023065000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1578636700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 W 95TH ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572704",
            "telephone_number": "708-599-9095",
            "fax_number": "708-233-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 W 95TH ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572704",
            "telephone_number": "708-599-9095",
            "fax_number": "708-233-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. MORRISON, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-599-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008092",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046-008092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sathyashree Sridhara, D.D.S.
• Katie Lynne Surges, PHARMD
• Gordon V Sweet, L.C.P.C.
• Faheemunnisa Syeda
• Donna Marie Szponer, RHP
• Anthony Joseph Tisoncik, D.D.S.
• Jelena Tomic
• Kathleen Patricia Torrez
• Trust Shuttle
• Gina Marie Urso

• Eyewear Supplier in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.