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Deactivated NPI 1841298445 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Donavon Morrison , OD

Optometrist • Mahnomen, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Morrison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2005
NPI Deactivation Date March 15, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Morrison, OD was a registered Optometrist practicing in Mahnomen, MN. Throughout an active medical career spanning 1 years, Dr. Morrison provided care at the practice location at 785 S HIGHWAY 59 until profile deactivation on 2006-03-15.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient outpatient office visit, removal of cataract with insertion of lens. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

785 S Highway 59

Mahnomen, MN 565575007

Telephone 2189362020
Fax 2189355541
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mahnomen, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Mahnomen, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
37 37 $164.00 $126.42

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1739

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
906223800 (MN)
Commercial Insurance / Payer ID National Tribal Claims Ce
0M036MO (MN)
Commercial Insurance / Payer ID Bcbs
553P1MO (MN)
Commercial Insurance / Payer ID Metropolitan Health Plan
051127011 (MN)
Commercial Insurance / Payer ID Zenith Admin.local 49
0M036MO (MN)
Commercial Insurance / Payer ID Palmetto Gba
410036752 (MN)
Commercial Insurance / Payer ID Preferred One
483361046247 (MN)
Commercial Insurance / Payer ID Unicare
411895571101 (MN)
Commercial Insurance / Payer ID Dmerc
0559830003 (MN)
Commercial Insurance / Payer ID Medica
2229857 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164457750

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location August 22, 2008

Registered at 785 S HIGHWAY 59, MAHNOMEN, MN 565575007 (Tel: 2189362020)

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Updated Business Mailing Address August 22, 2008

Registered at 785 SO HIGHWAY 59, P O BOX 339, MAHNOMEN, MN 565575007 (Tel: 2189362020)

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Provider Name / Credentials Updated August 22, 2008

Recorded as LARRY MORRISON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2008

Optometrist (License #1739 in MN)

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NPI Profile Reactivated July 07, 2006

Record officially reactivated for active practice on July 07, 2006

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NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

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Initial NPI Registration & Enumeration July 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841298445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: August 22, 2008
Deactivation Date: March 15, 2006
Sole Proprietor: Yes

Mailing Address

785 So Highway 59, P O Box 339

Mahnomen, MN 565575007

Phone: 2189362020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.