Individual provider Active NPI

Grant Morrison, OD

  • Optometrist
  • Paw Paw, MI
National Provider Identifier
1629159314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004020 Issued in MI
Practice address
133 E Michigan Ave
Paw Paw, MI 49079-1429
Phone
(269) 657-7288
Fax
(269) 655-9063
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004020 MI Primary

Addresses

Primary practice location

133 E Michigan Ave
Paw Paw, MI 49079-1429

Mailing address

133 E Michigan Ave
Paw Paw, MI 49079-1429
Phone (269) 657-7288

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
I20120307000140 MI Practitioner - Optometry 1456510718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist Current Accepting new patients
Hiemstra Optical Company CurrentSince Apr 10, 2001 Accepting new patients

Locations

133 E Michigan Ave
Paw Paw, MI 49079
Phone (269) 657-7288

Interoperability endpoints

  • Direct secure messaging: gmorrison@sei.intellechartdirect.net

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629159314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791429",
            "telephone_number": "269-657-7288",
            "fax_number": "269-655-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791429",
            "telephone_number": "269-657-7288",
            "fax_number": "269-655-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "GRANT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.