Dexter a Morris OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

239 Issued in NV

Legal business name

DEXTER A MORRIS OD LTD

Doing business as

Vision Source

Practice address

3413 S Eastern Ave
Las Vegas, NV 89169-3314

Phone

(702) 796-1419

Fax

(702) 796-4989

NPI assigned

Jul 28, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dexter Al Morris, O.D.NPI 1134272099

Title

President

Phone

(702) 796-1419

Specialties & licenses 1

Addresses

Other names 1

• Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Dexter Al Morris, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1134272099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1710291174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-796-1419",
            "fax_number": "702-796-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-796-1419",
            "fax_number": "702-796-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER A MORRIS OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-796-1419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alma May Fernandez Dewey, M.D.
• Ashley Renee Dewey, PA-C
• Joshua Dewitt
• Chakhan Ramina Dews
• Helen Dews
• Donald A Dexter, PAC
• Lillia Dexter
• Shannon Dexter, LMT
• Amanda Deyoung
• Elizabeth Deyoung, LCSW

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.