NPIMap

Organization Active NPI

Morrison Optometric Associates PA

Doing business as Vision Source of Colby, Goodland, Burlington, Atwood & St Francis

  • Optometrist
  • Burlington, CO
National Provider Identifier
1609843390
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MORRISON OPTOMETRIC ASSOCIATES PA
Doing business as
Vision Source of Colby, Goodland, Burlington, Atwood & St Francis
Practice address
1275 Rose Ave Ste a
Burlington, CO 80807-1678
Phone
(719) 346-8415
Fax
(785) 462-2307
NPI assigned
Mar 2, 2006
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1275 Rose Ave Ste a
Burlington, CO 80807-1678

Mailing address

PO Box 687
Colby, KS 67701-0687
Phone (785) 462-8231

Other identifiers 3

IdentifierTypeStateIssuer
76557758MedicaidCO
100219880AMedicaidKS
CS8632OtherKSRAILROAD MEDICARE

Other names 1

  • Vision Source of Colby, Goodland, Burlington, Atwood & St Francis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050405001367 KS Part B Supplier - Clinic/Group Practice 8426005083 Receives reassigned benefits from 6 practitioners
Practice locations: Atwood, KS; Colby, KS; Goodland, KS; Oakley, KS; St Francis, KS
O20090113000788 CO Part B Supplier - Clinic/Group Practice 8426005083 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Burlington, CO; Wray, CO; Yuma, CO
O20100930036221 KS DME Supplier - Physician - OptometristDME Supplier - Optician 8426005083 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Goodland, KS
O20100930076797 KS DME Supplier - Physician - Optometrist 8426005083 Practice locations: Colby, 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 3

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 Burlington1275 Rose Ave, Burlington, CO 80807-1678(785) 899-3654 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory

Locations

118 S 4th St
Atwood, KS 67730
Phone (785) 626-9234

1002 Broadway Ave
Goodland, KS 67735
Phone (785) 899-3654

Practitioners & affiliated clinicians

Practitioners 9

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1609843390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677010687",
            "telephone_number": "785-462-8231",
            "fax_number": "785-462-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 ROSE AVE STE A",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071678",
            "telephone_number": "719-346-8415",
            "fax_number": "785-462-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "SHOAFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "785-462-8231"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76557758",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219880A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS8632",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Colby, Goodland, Burlington, Atwood & St Francis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source of Colby, Goodland, Burlington, Atwood & St Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.