Organization Active NPI

Morshedeye

  • Optometrist
  • Louisville, KY
National Provider Identifier
1679016893
Registry record updated Nov 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KY2047DT Issued in KY
Legal business name
MORSHEDEYE
Practice address
3408 Bardstown Rd
Louisville, KY 40218-4608
Phone
(502) 912-9884
NPI assigned
Nov 19, 2016
Last updated
Nov 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2016

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

Authorized official

Name
Michael Ahmad Morshedi, O.D.
Title
Optometrist
Phone
(804) 549-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KY2047DT KY Primary

Addresses

Primary practice location

3408 Bardstown Rd
Louisville, KY 40218-4608

Mailing address

3408 Bardstown Rd
Louisville, KY 40218-4608
Phone (502) 912-9884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170106000649 KY Part B Supplier - Clinic/Group Practice 0345521365 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479513600000",
    "number": "1679016893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184608",
            "telephone_number": "502-912-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184608",
            "telephone_number": "502-912-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORSHEDEYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-19",
        "last_updated": "2016-11-19",
        "status": "A",
        "authorized_official_last_name": "MORSHEDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-549-3777",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY2047DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.