Individual provider Active NPI

Martha R Morrow, O.D.

  • Optometrist
  • Russellville, AL
National Provider Identifier
1649352741
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S339TA144 Issued in AL
Practice address
15255 Highway 43
Suite 1
Russellville, AL 35653-1924
Phone
(256) 332-5440
Fax
(256) 332-5402
NPI assigned
Oct 19, 2006
Last updated
Jun 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S339TA144 AL Primary

Addresses

Primary practice location

15255 Highway 43
Suite 1
Russellville, AL 35653-1924

Mailing address

PO Box 1177
Russellville, AL 35653-1177
Phone (256) 332-5440

Other identifiers 6

IdentifierTypeStateIssuer
000059364MedicaidAL
051527545OtherALBCBS OF AL
051059364OtherALBCBS OF AL
051527544OtherALBCBS OF AL
0550110002OtherALPALMETTO
410031311OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051214000523 AL Practitioner - Optometry 5092759563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Professionals, P.C. Optometrist CurrentSince Dec 2, 1994 Accepting new patients
Eyedocs on Wheels PC Optometrist PastSince Jan 1, 2007 Accepting new patients
Eyecare for Life, PC Optometrist PastSince Nov 30, 2006 Accepting new patients

Locations

112 Hospital St
Moulton, AL 35650
Phone (256) 974-9544

15255 Highway 43
Russellville, AL 35653
Phone (256) 332-4949

15255 Highway 43
Ste 1
Russellville, AL 35653

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1649352741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531177",
            "telephone_number": "256-332-5440",
            "fax_number": "256-332-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 HIGHWAY 43",
            "address_2": "SUITE 1",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531924",
            "telephone_number": "256-332-5440",
            "fax_number": "256-332-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "MARTHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S339TA144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059364",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051527545",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051059364",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051527544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0550110002",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410031311",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.