Individual provider Active NPI

Rebecca Morford, O.D.

  • Optometrist
  • Butler, PA
National Provider Identifier
1851372445
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001301 Issued in PA
Practice address
101 Clearview Cir
Boscov'S Optical
Butler, PA 16001-1576
Phone
(724) 285-2139
Fax
(724) 283-2084
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001301 PA Primary

Addresses

Primary practice location

101 Clearview Cir
Boscov'S Optical
Butler, PA 16001-1576

Mailing address

190 Beacon Rd
Renfrew, PA 16053-1206
Phone (724) 822-6179

Other identifiers 12

IdentifierTypeStateIssuer
03831-001OtherPADAVIS VISION
205052/102386OtherPAEYEMED/ COLE
656619OtherPABC/BS INDIVIDUAL
2529139OtherPAAETNA INDIVIDUAL
106109OtherPABC/BS GROUP
396975OtherPANVA GROUP
01611137OtherPAGATEWAY
2077435OtherPAAETNA GROUP
0017950990002MedicaidPA
2518269522A12OtherPAANTHEM PIN
0016689/ 014829OtherPADORAL VISION
2518269522A00OtherPAANTHEM GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190903000250 PA Practitioner - Optometry 8729317656 Practice locations: Butler, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001301PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1851372445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BEACON RD",
            "city": "RENFREW",
            "state": "PA",
            "postal_code": "160531206",
            "telephone_number": "724-822-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEARVIEW CIR",
            "address_2": "BOSCOV'S OPTICAL",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011576",
            "telephone_number": "724-285-2139",
            "fax_number": "724-283-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORFORD",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "03831-001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED/ COLE",
            "identifier": "205052/102386",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL",
            "identifier": "656619",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL",
            "identifier": "2529139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "106109",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA GROUP",
            "identifier": "396975",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "01611137",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "2077435",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017950990002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "2518269522A12",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL VISION",
            "identifier": "0016689/ 014829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "2518269522A00",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.