Yvonne E Kersulec-Morillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00575800 Issued in NJ

Practice address

1386 Alps Rd
Wayne, NJ 07470-3604

Phone

(973) 628-0100

Fax

(973) 628-0164

NPI assigned

Sep 20, 2006

Last updated

Oct 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

96.31

Promoting interoperability

100

Improvement activities

40

Cost

73.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• Yvonne Morillo

  dba Alps Family Eyecare

  • Optometrist
  • Wayne, NJ
  • NPI 1891061677
  Authorized official Same address or phone
• Erlich Eye Associates, LLC

  • Optometrist
  • Teaneck, NJ
  • NPI 1982927067
  NPD (past)
• H&C Infinite Vision LLC

  • Optometrist
  • Wayne, NJ
  • NPI 1871958058
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1821196874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703604",
            "telephone_number": "973-628-0100",
            "fax_number": "973-628-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703604",
            "telephone_number": "973-628-0100",
            "fax_number": "973-628-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSULEC-MORILLO",
        "first_name": "YVONNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00575800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Kelly, D.C.
• Quinn Elizabeth Kelly
• Jessica L Kelmartin, APN
• Kimberly Ann Kempey, LPC
• Kerri Scully LPC LLC
• Kesler Podiatry P C
• Michael Kesler, D.P.M.
• Kiandokht Keyhanian, M.D.
• Aziz-Ur-Rahman Khalid
• Chaza Khalil, M.D.

• Optometrist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.