John Kenneth Morrison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1432 Issued in WI

Practice address

1221 Phoenix St
Delavan, WI 53115-2340

Phone

(262) 728-2667

Fax

(262) 728-3539

NPI assigned

Aug 19, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1013021518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531150910",
            "telephone_number": "262-728-2667",
            "fax_number": "262-728-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PHOENIX ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531152340",
            "telephone_number": "262-728-2667",
            "fax_number": "262-728-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH HMO",
            "identifier": "516110",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Health System Corporation
• Michael Jason Moks, OTR/L
• Kelly S Moralez, DC
• Michael L Moralez, DC
• Morrison Eye Clinic, SC
• Giovanna Marie Moses, O.D.
• Leroy Frederick Moyer, D.C.
• Erin Jeanne Murphy, COTA/L
• Allison S Murray, SLP
• John Neubauer, DDS

• Optometrist in Delavan, WI
• Providers in Delavan, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.

Verify at the official NPI Registry.