Active NPI
Morgan Elizabeth Peters, OD
- Optometrist
- Goodfellow Afb, TX
National Provider Identifier
1891543096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3880
- Practice address
- 271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901 - Phone
- (325) 654-3120
- NPI assigned
- May 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3880 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Mailing address
123 Riverchase Dr
Church Hill, TN 37642-7300
Phone (423) 578-4108
Other practice location 1
147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3880 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1891543096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 RIVERCHASE DR",
"city": "CHURCH HILL",
"state": "TN",
"postal_code": "376427300",
"telephone_number": "423-578-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FORT RICHARDSON AVE",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "769084901",
"telephone_number": "325-654-3120"
}
],
"practiceLocations": [
{
"address_1": "147 Sycamore St",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415019118",
"country_code": "US",
"telephone_number": "606-218-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "MORGAN",
"middle_name": "ELIZABETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-11",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3880",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodfellow Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.