Paul Darwin Mormon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2254 Issued in TN

Practice address

9031 Valley Crest LN
Germantown, TN 38138-7829

Phone

(901) 757-2020

Fax

(901) 751-2399

NPI assigned

Aug 24, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, AL, ME3 enrollments

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 3

Specialty

Optometry

Education

Southern College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fayette Eye Associates PLLCGroup PAC ID 2567886062, 4 clinicians

Square Eyecare PLLCGroup PAC ID 6103225529, 4 clinicians

East Memphis Eye Associates PLLCGroup PAC ID 6103240288, 4 clinicians

Eyes PAGroup PAC ID 0345271284, 3 clinicians

Eyecare East, PLLCGroup PAC ID 7517195779, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Memphis Eye Associates PLLC

  dba Eye Society

  • Optometrist
  • Germantown, TN
  • NPI 1386092682
  Medicare reassignment Care Compare group NPD Authorized official
• Eyecare East, PLLC

  • Optometrist
  • Germantown, TN
  • NPI 1700131752
  Medicare reassignment Care Compare group NPD Authorized official
• Fayette Eye Associates PLLC

  dba Fayette Family Vision Care

  • Clinic/Center
  • Eads, TN
  • NPI 1750942363
  Medicare reassignment Care Compare group NPD
• Square Eyecare, PLLC.

  • Optometrist
  • Collierville, TN
  • NPI 1770163305
  Medicare reassignment Care Compare group NPD
• Eyes, P.a.

  • Optometrist
  • Ellsworth, ME
  • NPI 1477564235
  Medicare reassignment Care Compare group NPD
• W Hampton Moore OD PC

  dba Renaissance Eye Care

  • Optometrist
  • Florence, AL
  • NPI 1235280298
  Medicare reassignment NPD
• Eyes, P.a.

  • Optometrist
  • Mount Desert, ME
  • NPI 1952501231
  NPD

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699768887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020",
            "fax_number": "901-751-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 VALLEY CREST LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387829",
            "telephone_number": "901-757-2020",
            "fax_number": "901-751-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORMON",
        "first_name": "PAUL",
        "middle_name": "DARWIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD",
            "identifier": "2254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Richard Moran III, MD
• Emily Morgan, FNP-C
• Jeremy Kyle Morgan, FNP
• Natalie Morgan, PA-C
• Darwin L Mormon, O.D.
• Morris Integrative Psychiatric Care
• Justin Thomas Morris, PT
• Keri D Morris, APRN, PMHNP-BC
• Leslie Carter Morris, SLP
• Stefanie Gadd Morris, FNP

• Optometrist in Germantown, TN
• Providers in Germantown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.