Individual provider Active NPI

Gary L Morgan, O.D.

  • Optometrist
  • Prescott, AZ
National Provider Identifier
1760485874
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ845 Issued in AZ
Practice address
3155 Stillwater Dr Ste a
Prescott, AZ 86305-7172
Phone
(928) 227-1738
Fax
(928) 583-7992
NPI assigned
May 23, 2005
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ845 AZ Primary

Addresses

Primary practice location

3155 Stillwater Dr Ste a
Prescott, AZ 86305-7172

Mailing address

3155 Stillwater Dr Ste a
Prescott, AZ 86305-7172
Phone (928) 227-1738

Other identifiers 2

IdentifierTypeStateIssuer
129967MedicaidAZ
410022566OtherAZRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091228000118 AZ Practitioner - Optometry 8729070461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triton Care Systems PLLCGroup PAC ID 6406284769, 2 clinicians

Practice addresses (Care Compare)

3155 Stillwater Dr
Suite a
Prescott, AZ 86305-7172
Phone (928) 227-1738

Merit-based Incentive Payment System (MIPS)

Final score
68.97 of 100Reported as individual
Quality
86.67
Promoting interoperability
21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ845AZMDOptometrist
845AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Triton Care Systems PLLC Optometrist CurrentSince Mar 3, 2020 Accepting new patients
Scottsdale Center for Sight, PLC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

3155 Stillwater Dr
Ste A
Prescott, AZ 86305
Phone (928) 227-1738

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1760485874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 STILLWATER DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057172",
            "telephone_number": "928-227-1738",
            "fax_number": "928-583-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 STILLWATER DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057172",
            "telephone_number": "928-227-1738",
            "fax_number": "928-583-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129967",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "410022566",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.