Individual provider Active NPI

Joseph R. Morris, O.D.

  • Optometrist
  • Glade Spring, VA
National Provider Identifier
1699734822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000671 Issued in VA
Practice address
33424 Bunker Hill LN
Unit 4
Glade Spring, VA 24340-5114
Phone
(276) 429-5312
Fax
(276) 429-4389
NPI assigned
Mar 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601000671 VA Primary

Addresses

Primary practice location

33424 Bunker Hill LN
Unit 4
Glade Spring, VA 24340-5114

Mailing address

33424 Bunker Hill LN
Unit 4
Glade Spring, VA 24340-5114
Phone (276) 429-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050513000131 VA Practitioner - Optometry 3375584964 Practice locations: Glade Spring, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Eye Associates, P.C. PastSince Nov 9, 2009 Accepting new patients
Scott D. Burnop Odpc Optometrist Past Accepting new patients
Ear, Nose, Throat & Allergy Consultants, PC PastSince Oct 1, 2013 Accepting new patients

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699734822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33424 BUNKER HILL LN",
            "address_2": "UNIT 4",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405114",
            "telephone_number": "276-429-5312",
            "fax_number": "276-429-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33424 BUNKER HILL LN",
            "address_2": "UNIT 4",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243405114",
            "telephone_number": "276-429-5312",
            "fax_number": "276-429-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glade Spring, VA

Sources for this page

Verify at the official NPI Registry.