Individual provider Active NPI

Andrew Seth Morgenstern, O.D.

  • Optometrist
  • Bethesda, MD
National Provider Identifier
1598850208
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA 1721 Issued in MD
Practice address
Walter Reed National Military Medical Center
4975 Palmer Road, BLDG 85T, 1St Floor
Bethesda, MD 20852-3154
Phone
(202) 423-3500
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001017 VA
Optometrist 152W00000X OP1000059 DC
Optometrist 152W00000X TUV006190-1 NY
Optometrist 152W00000X TA1721 MD
Optometrist 152W00000X TA 1721 MD Primary

Addresses

Primary practice location

Walter Reed National Military Medical Center
4975 Palmer Road, BLDG 85T, 1St Floor
Bethesda, MD 20852-3154

Mailing address

10753 Mist Haven Ter
Rockville, MD 20852-3436
Phone (202) 423-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000059DCMDOptometrist
TA 1721MDMDOptometrist
TA1721MDMDOptometrist
TUV006190-1NYMDOptometrist
0618001017VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1598850208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 MIST HAVEN TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523436",
            "telephone_number": "202-423-3500",
            "fax_number": "301-881-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
            "address_2": "4975 PALMER ROAD, BLDG 85T, 1ST FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208523154",
            "telephone_number": "202-423-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGENSTERN",
        "first_name": "ANDREW",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001017",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000059",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006190-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1721",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.