Organization Active NPI

Kenneth K. Morse, P.C.

Doing business as Kenneth K. Morse, O.D.

  • Optometrist
  • Casper, WY
National Provider Identifier
1073739157
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
259T Issued in WY
Legal business name
KENNETH K. MORSE, P.C.
Doing business as
Kenneth K. Morse, O.D.
Practice address
911 Cy Ave
Casper, WY 82601-4160
Phone
(307) 265-4324
Fax
(307) 234-1203
NPI assigned
Apr 18, 2007
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Dr. Kenneth Karl Morse, O.D.NPI 1477539666
Title
President
Phone
(307) 265-4324

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 259T WY Primary

Addresses

Primary practice location

911 Cy Ave
Casper, WY 82601-4160

Mailing address

911 Cy Ave
Casper, WY 82601-4160
Phone (307) 267-9703

Other names 1

  • Kenneth K. Morse, O.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040603001187 WY Part B Supplier - Clinic/Group Practice 2062494933 Receives reassigned benefits from 1 practitioner
Practice locations: Casper, WY
O20160708000036 WY DME Supplier - Physician - Optometrist 2062494933 Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Locations

485 E 2nd St
Casper, WY 82601
Phone (307) 265-4324

601 SE Wyoming Blvd
Casper, WY 82609
Phone (307) 237-3142

911 Cy Ave
Casper, WY 82601
Phone (307) 265-4324

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1073739157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CY AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014160",
            "telephone_number": "307-267-9703",
            "fax_number": "307-234-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CY AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014160",
            "telephone_number": "307-265-4324",
            "fax_number": "307-234-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K. MORSE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-265-4324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "259T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth K. Morse, O.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenneth K. Morse, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.