Individual provider Active NPI

David James Morris, O.D.

  • Optometrist
  • Burlington, VT
National Provider Identifier
1881855765
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0083693 Issued in VT
Practice address
30 Main St Ste 120
Burlington, VT 05401-8427
Phone
(802) 658-7610
Fax
(802) 864-0893
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0083693 VT Primary

Addresses

Primary practice location

30 Main St Ste 120
Burlington, VT 05401-8427

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20150414000826 VT Practitioner - Optometry 3173718731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Vermont LLCGroup PAC ID 4486912607, 12 clinicians

Practice addresses (Care Compare)

30 Main St
Suite 120
Burlington, VT 05401-8427
Phone (802) 658-7610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0083693VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Mar 29, 2021 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Mar 29, 2021 Accepting new patients
Conklin Eyecare PLLC. Optometrist Past Accepting new patients

Locations

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

30 Main St
Ste 120
Burlington, VT 05401
Phone (802) 658-7610

10 Palmer Rd
Ste 100
Stowe, VT 05672
Phone (802) 253-6322

10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

Interoperability endpoints

  • Direct secure messaging: dmorris020036@myeyedr.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1881855765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST STE 120",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018427",
            "telephone_number": "802-658-7610",
            "fax_number": "802-864-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0083693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.