NPIMap

Organization Active NPI

Morrison Optometric Associates, PA

Doing business as Vision Source of Goodland

  • Optometrist
  • Goodland, KS
National Provider Identifier
1013274240
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1587 Issued in KS
Legal business name
MORRISON OPTOMETRIC ASSOCIATES, PA
Doing business as
Vision Source of Goodland
Practice address
1018 Main Ave
Goodland, KS 67735-2943
Phone
(785) 899-3654
Fax
(785) 462-2307
NPI assigned
Apr 12, 2012
Last updated
May 11, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MORRISON OPTOMETRIC ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Mary Shoaff
Title
Office Manager
Phone
(785) 462-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1587 KS Primary

Addresses

Primary practice location

1018 Main Ave
Goodland, KS 67735-2943

Mailing address

1005 S Range Ave
Ste 100
Colby, KS 67701-3537
Phone (785) 462-8231

Other identifiers 2

IdentifierTypeStateIssuer
CS8632OtherKSRAILROAD MEDICARE
100219880AMedicaidKS

Other names 1

  • Vision Source of Goodland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036221 KS DME Supplier - Physician - OptometristDME Supplier - Optician 8426005083 1 other NPI on this enrollment
Practice locations: Goodland, KS

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vision Source of Goodland1018 Main Ave, Goodland, KS 67735-2943(785) 899-3654 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Morrison Wahlmeier7 organizations share this tax ID, including this one
Part of
Morrison Wahlmeier

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1013274240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S RANGE AVE",
            "address_2": "STE 100",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013537",
            "telephone_number": "785-462-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 MAIN AVE",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352943",
            "telephone_number": "785-899-3654",
            "fax_number": "785-462-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON OPTOMETRIC ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRISON OPTOMETRIC ASSOCIATES, PA",
        "enumeration_date": "2012-04-12",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "SHOAFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-462-8231"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS8632",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Goodland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source of Goodland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.