Individual provider Active NPI

Rick J Morris, OD

  • Vision Therapy Optometrist
  • Lakewood, CO
National Provider Identifier
1679582878
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT0003171 Issued in CO
Practice address
12265 West Bayaud Ave
Suite 120
Lakewood, CO 80228-2116
Phone
(720) 709-7334
Fax
(720) 709-7336
NPI assigned
Aug 5, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPT0003171 CO Primary

Addresses

Primary practice location

12265 West Bayaud Ave
Suite 120
Lakewood, CO 80228-2116

Mailing address

12265 West Bayaud Ave
Suite 120
Lakewood, CO 80228-2116
Phone (720) 709-7334

Other identifiers 1

IdentifierTypeStateIssuer
084380600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170503000565 CO Practitioner - Optometry 9133295694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12265 W Bayaud Ave
Suite 120
Lakewood, CO 80228-2116
Phone (720) 709-7334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003171COMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Vision Center, Inc Past Accepting new patients

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1679582878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 WEST BAYAUD AVE",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282116",
            "telephone_number": "720-709-7334",
            "fax_number": "720-709-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 WEST BAYAUD AVE",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282116",
            "telephone_number": "720-709-7334",
            "fax_number": "720-709-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT0003171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084380600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.