NPIMap

Organization Active NPI

Yvonne Morillo

  • Optometrist
  • Wayne, NJ
National Provider Identifier
1891061677
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00575800 Issued in NJ
Legal business name
YVONNE MORILLO
Practice address
1386 Alps Rd
Wayne, NJ 07470-3604
Phone
(973) 628-0100
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Yvonne E Kersulec-Morillo
Title
Owner
Phone
(973) 628-0100

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27OA00575800 NJ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27TO00115600 NJ
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27OA00566200 NJ
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27TO00105801 NJ
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 27OM00086403 NJ

Addresses

Primary practice location

1386 Alps Rd
Wayne, NJ 07470-3604

Mailing address

1386 Alps Rd
Wayne, NJ 07470-3604
Phone (973) 628-0100

Other names 1

  • Alps Family Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1891061677",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE MORILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "KERSULEC-MORILLO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-628-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00575800",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00115600",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00566200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00105801",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00086403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alps Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.