Dr.Michael K. Morton O.D. Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13533TLG Issued in CA

Legal business name

DR.MICHAEL K. MORTON O.D. OPTOMETRIC CORPORATION

Practice address

222 N G St
San Bernardino, CA 92410-3269

Phone

(909) 885-1134

Fax

(909) 888-2349

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kevin Morton, O.D.NPI 1720242258

Title

President

Phone

(909) 885-1134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kevin Morton, O.D.

  • Optometrist
  • San Bernardino, CA
  • NPI 1720242258
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1871895490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N G ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103269",
            "telephone_number": "909-885-1134",
            "fax_number": "909-888-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N G ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103269",
            "telephone_number": "909-885-1134",
            "fax_number": "909-888-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MICHAEL K. MORTON O.D. OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-885-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13533TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.