NPIMap

Organization Active NPI

Jeffrey L Morrill OD PC

  • Optometrist
  • Franklin, MA
National Provider Identifier
1942321807
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA 2543 Issued in MA
Legal business name
JEFFREY L MORRILL OD PC
Practice address
480 West Central St
Franklin, MA 02038-2902
Phone
(508) 528-2040
Fax
(508) 528-8644
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Jeffrey L Morrill, ODNPI 1295842433
Title
Owner President
Phone
(508) 528-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MA 2543 MA Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

480 West Central St
Franklin, MA 02038-2902

Mailing address

480 West Central St
Franklin, MA 02038-2902
Phone (508) 528-2040

Other identifiers 2

IdentifierTypeStateIssuer
W15098OtherMABLUE CROSS PROVIDER NUMBE
0327794MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071019000493 MA Part B Supplier - Clinic/Group Practice 6800982083 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1942321807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WEST CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382902",
            "telephone_number": "508-528-2040",
            "fax_number": "508-528-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WEST CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382902",
            "telephone_number": "508-528-2040",
            "fax_number": "508-528-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L MORRILL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MORRILL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "508-528-2040",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA 2543",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "W15098",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327794",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.