Active NPI
Lyndsey Marie Ferris, OPTOMETRIST
- Optometrist
- Jbsa Lackland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10497
- Practice address
- 1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 539-8200
- NPI assigned
- Oct 1, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004637 | MI | |
| Corneal and Contact Management Optometrist | 152WC0802X | 4901004637 | MI | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 4901004637 | MI | |
| Optometrist | 152W00000X | 10497 | TX | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (210) 539-8200
Other practice location 1
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 883-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001 | Other | MI | FERRIS STATE COLLEGE OF OPTOMETRY |
Other names 1
- Lyndsey Marie Morse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004637 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Incarnate Word | Optometrist | Current | Accepting new patients |
| University of the Incarnate Word | Current | Accepting new patients | |
| Indiana University | Optometrist | Past | Accepting new patients |
Locations
9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800
2547 E Commerce St
San Antonio, TX 78203
Phone (210) 283-6331
9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800
Organizations & group practices 3
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.
-
- Optometrist
- San Antonio, TX
- NPI 1003129784
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1033591706
-
- Optometrist
- Indianapolis, IN
- NPI 1497799787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1952552671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-539-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-539-8200"
}
],
"practiceLocations": [
{
"address_1": "9725 Datapoint Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782292384",
"country_code": "US",
"telephone_number": "210-883-1190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRIS",
"first_name": "LYNDSEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004637",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901004637",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MI",
"license": "4901004637",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FERRIS STATE COLLEGE OF OPTOMETRY",
"identifier": "001",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDSEY",
"last_name": "MORSE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.