Individual provider Active NPI

Morgan Juliann Gillis, OD

  • Optometrist
  • Orange, TX
National Provider Identifier
1912429424
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9294T Issued in TX
Practice address
3732 N 16TH St
Orange, TX 77632-4629
Phone
(409) 883-4821
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9294T TX Primary

Addresses

Primary practice location

3732 N 16TH St
Orange, TX 77632-4629

Mailing address

3732 N 16TH St
Orange, TX 77632-4629
Phone (409) 883-4821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180802001758 LA Practitioner - Optometry 6103174404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falgoust Eye Medical and SurgicalGroup PAC ID 9739197880, 3 clinicians

Practice addresses (Care Compare)

1980 Tybee LN
Lake Charles, LA 70605-4173
Phone (337) 477-0963

Merit-based Incentive Payment System (MIPS)

Final score
98.65 of 100Reported as group
Quality
97.29
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9294TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Falgoust Eye Medical and Surgical CurrentSince Jul 17, 2018 Accepting new patients
Dr. Heidi B Doucet, P.L.L.C. Optometrist PastSince Jul 5, 2004 Accepting new patients

Locations

1980 Tybee Ln
Lake Charles, LA 70605
Phone 3374470963 ext. 112

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1912429424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776324629",
            "telephone_number": "409-883-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776324629",
            "telephone_number": "409-883-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "MORGAN",
        "middle_name": "JULIANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9294T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.