Active NPI
Janet M Morris, OD PA
- Optometrist
- Pace, FL
National Provider Identifier
1679799555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2620
- Practice address
- 4965 Hwy 90
Pace, FL 32571 - Phone
- (850) 995-1513
- Fax
- (850) 995-1513
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2620 | FL | Primary |
Addresses
Primary practice location
4965 Hwy 90
Pace, FL 32571
Mailing address
4290 Idell Lane
Pace, FL 32571
Phone (850) 995-1513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2620 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1679799555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 IDELL LANE",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-995-1513",
"fax_number": "850-995-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4965 HWY 90",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-995-1513",
"fax_number": "850-995-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JANET",
"middle_name": "M",
"credential": "OD PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.