Individual provider Active NPI

John W Morton, O.D.,P.S.C.

  • Optometrist
  • Ashland, KY
National Provider Identifier
1811996325
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
803DT Issued in KY
Practice address
1201 13TH St
Ashland, KY 41101-2607
Phone
(606) 329-1404
Fax
(606) 325-7446
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 803DT KY Primary

Addresses

Primary practice location

1201 13TH St
Ashland, KY 41101-2607

Mailing address

1201 13TH St
Ashland, KY 41101-2607
Phone (606) 329-1404

Other identifiers 6

IdentifierTypeStateIssuer
1418243OtherKYUNITED MINE WORKERS ASSOC
5315095OtherKYAETNA
K115OtherKYBC BS OF KY
000000047400OtherKYANTHEM BLUE
410003978OtherKYPALMETTO RAILROAD MEDICAR
77008035MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1811996325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607",
            "telephone_number": "606-329-1404",
            "fax_number": "606-325-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012607",
            "telephone_number": "606-329-1404",
            "fax_number": "606-325-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "O.D.,P.S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "803DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS ASSOC",
            "identifier": "1418243",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5315095",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF KY",
            "identifier": "K115",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE",
            "identifier": "000000047400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICAR",
            "identifier": "410003978",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77008035",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.