Individual provider Active NPI

Jeffrey Kendrick Morrison, OD

  • Optometrist
  • Fayetteville, NC
National Provider Identifier
1598487779
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2703 Issued in NC
Practice address
419 Cross Creek Mall
Fayetteville, NC 28303-7238
Phone
(910) 867-4466
NPI assigned
Sep 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2703 NC Primary

Addresses

Primary practice location

419 Cross Creek Mall
Fayetteville, NC 28303-7238

Mailing address

6903 S Staff Rd
Fayetteville, NC 28306-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240227001289 NC Practitioner - Optometry 2668817990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center Doctors of Optometry PAGroup PAC ID 6901883362, 12 clinicians

Practice addresses (Care Compare)

302 Cross Creek Mall
Fayetteville, NC 28303-7242
Phone (910) 867-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2703NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center, Doctors of Optometry, P.a. Optometrist CurrentSince Jan 2, 2024 Accepting new patients

Locations

302 Cross CRK Mall
NC 28303

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-0200

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

4325 Glenwood Ave
Ste 4001
Raleigh, NC 27612

5959 Triangle Town Blvd
Ste 2001
Raleigh, NC 27616
Phone (919) 792-2345

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1598487779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 S STAFF RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CROSS CREEK MALL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037238",
            "telephone_number": "910-867-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JEFFREY",
        "middle_name": "KENDRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.