Active NPI
Jeffrey L. Morer, OD, PA
- Optometrist
- Houston, TX
National Provider Identifier
1821039686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JEFFREY L. MORER, OD, PA
- Practice address
- 4201 FM 1960 Rd W
Suite # 225
Houston, TX 77068-3414 - Phone
- (281) 537-1599
- Fax
- (281) 537-1310
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey L. Morer, OD
- Title
- Owner/President
- Phone
- (617) 964-6681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4201 FM 1960 Rd W
Suite # 225
Houston, TX 77068-3414
Mailing address
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171458601 | Medicaid | TX |
Other names 1
- HealthDrive Eye Care Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050302000870 | TX | Part B Supplier - Clinic/Group Practice | 2466405394 |
Receives reassigned benefits from 20 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Worth, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1821039686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CROSSING BLVD",
"address_2": "SUITE 300",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017025555",
"telephone_number": "617-964-6681",
"fax_number": "617-630-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 FM 1960 RD W",
"address_2": "SUITE # 225",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683414",
"telephone_number": "281-537-1599",
"fax_number": "281-537-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L. MORER, OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "MORER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "617-964-6681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171458601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthDrive Eye Care Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HealthDrive Eye Care Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.