Individual provider Active NPI

Michael Morgan, OD

  • Optometrist
  • Kingsport, TN
National Provider Identifier
1649846296
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3702 Issued in TN
Practice address
2101 Fort Henry Dr SPC E-9
Kingsport, TN 37664-3658
Phone
(423) 246-1416
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3702 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2101 Fort Henry Dr SPC E-9
Kingsport, TN 37664-3658

Mailing address

2101 Fort Henry Dr SPC E-9
Kingsport, TN 37664-3658
Phone (423) 246-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210913002129 TN Practitioner - Optometry 0648676957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

2600 E Stone Dr
Suite 10
Kingsport, TN 37660-5919
Phone (865) 217-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Luxottica of America Inc PastSince Jun 6, 2021 Accepting new patients
Luxottica of America Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

554 Pinnacle Pkwy
Ste 701
Bristol, TN 37620
Phone (423) 764-4017

2011 N Roan St
Johnson City, TN 37601
Phone (423) 282-0016

2111 N Roan St
Ste 35
Johnson City, TN 37601
Phone (423) 282-6631

2101 Fort Henry Dr
Spc E9
Kingsport, TN 37664
Phone (423) 246-1416

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1649846296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FORT HENRY DR SPC E-9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643658",
            "telephone_number": "423-246-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FORT HENRY DR SPC E-9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643658",
            "telephone_number": "423-246-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3702",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.