Organization Active NPI

Joseph G. Morra, O.D., P.C.

  • Optometrist
  • North Syracuse, NY
National Provider Identifier
1871800334
Registry record updated Sep 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV4595 Issued in NY
Legal business name
JOSEPH G. MORRA, O.D., P.C.
Practice address
5349 W Taft Rd
North Syracuse, NY 13212-2747
Phone
(315) 458-8010
NPI assigned
Sep 4, 2010
Last updated
Sep 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2010

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

Authorized official

Name
Dr. Joseph Gerard Morra, O.D.NPI 1760484091
Title
President
Phone
(315) 450-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV4595 NY Primary

Addresses

Primary practice location

5349 W Taft Rd
North Syracuse, NY 13212-2747

Mailing address

2988 Nabil St
Baldwinsville, NY 13027-9504
Phone (315) 450-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000035 NY Part B Supplier - Clinic/Group Practice 5193912301 Receives reassigned benefits from 2 practitioners
Practice locations: N Syracuse, NY

National Provider Directory

National Provider Directory

Locations

5349 W Taft Rd
Syracuse, NY 13212
Phone (315) 458-8001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1871800334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 NABIL ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279504",
            "telephone_number": "315-450-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122747",
            "telephone_number": "315-458-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G. MORRA, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "MORRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-450-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.

Verify at the official NPI Registry.