Individual provider Active NPI

Zachary Thomas Morrison, OD

  • Optometrist
  • Sapulpa, OK
National Provider Identifier
1740916220
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK3187 Issued in OK
Practice address
1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone
(918) 227-3937
Fax
(888) 972-5679
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK3187 OK Primary

Addresses

Primary practice location

1029 E Taft Ave
Sapulpa, OK 74066-4570

Mailing address

1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone (918) 227-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20221118000302 OK Practitioner - Optometry 6800264169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hubertina J M Hagen OD Inc PCGroup PAC ID 6608957550, 2 clinicians

Practice addresses (Care Compare)

1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone (918) 227-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK3187OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hubertina J M Hagen OD Inc PC Optometrist CurrentSince Jun 20, 2023 Accepting new patients

Locations

1029 E Taft Ave
Sapulpa, OK 74066
Phone (918) 227-3937

Interoperability endpoints

  • Direct secure messaging: zack.morrison@e2eok.direct.eyemdemr.com

Organizations & group practices 1

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1740916220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK3187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.