Individual provider Active NPI

Scott I Morrison, O.D.

  • Optometrist
  • New Paltz, NY
National Provider Identifier
1720083231
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004596-1 Issued in NY
Practice address
243 Main St
New Paltz, NY 12561-1325
Phone
(845) 255-4696
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 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 VUT004596-1 NY Primary

Addresses

Primary practice location

243 Main St
New Paltz, NY 12561-1325

Mailing address

243 Main St
New Paltz, NY 12561-1325
Phone (845) 255-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100327000239 NY Practitioner - Optometry 3971639139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evil Eye Optometry PCGroup PAC ID 5597114272, 3 clinicians

Practice addresses (Care Compare)

243 Main St
Suite 120
New Paltz, NY 12561-1355
Phone (845) 255-4696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004596NYMDMental Health Counselor
VUT004596-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist CurrentSince Jun 2, 1977 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 2, 1977 Accepting new patients
Evil Eye Optometry P.C. Optometrist CurrentSince Sep 26, 2023 Accepting new patients

Locations

243 Main St
Ste 120
New Paltz, NY 12561
Phone (845) 255-4696

243 Main St
New Paltz, NY 12561
Phone (845) 255-4696

222 Main St
New Paltz, NY 12561
Phone (845) 255-1567

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1720083231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611325",
            "telephone_number": "845-255-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611325",
            "telephone_number": "845-255-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SCOTT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.