Dale Lynn Morris, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2137 Issued in AR

Practice address

330 Dillard St
Forrest City, AR 72335-3260

Phone

(870) 633-1174

Fax

(870) 633-3838

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• West Memphis Eye Center, PA

  • Ophthalmology Physician
  • West Memphis, AR
  • NPI 1205860459
  NPD (past)
• Baptist Memorial Hospital-Desoto, Inc.

  • Community/Retail Pharmacy
  • Southaven, MS
  • NPI 1790669331
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1922067115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DILLARD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DILLARD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DALE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC",
            "identifier": "0160370002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105989722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andria Moon, THERAPIST
• Elizabeth Moore-Brown, MHPP
• Kristian Nicole Moore
• Kwamesha Moore
• Courtney Marie Morgan-Dildine, APN
• Ella Morris, RN
• Janet Morris, MHPP
• Jennifer S Morris, CRNA
• Magnolia Morris
• Felicia Morrow, MHPP

• Optometrist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.