Active NPI
Morrison Eye Clinic, SC
- Optometrist
- Delavan, WI
National Provider Identifier
1730370826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1432
- Legal business name
- MORRISON EYE CLINIC, SC
- Practice address
- 1221 Phoenix St
Delavan, WI 53115-2340 - Phone
- (262) 728-2667
- Fax
- (262) 728-3539
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John K Morrison, O.D.
- Title
- Optometrist
- Phone
- (262) 728-2667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1432 | WI | Primary |
Addresses
Primary practice location
1221 Phoenix St
Delavan, WI 53115-2340
Mailing address
PO Box 910
Delavan, WI 53115-2340
Phone (262) 728-2667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516110 | Other | WI | DEAN CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1221 Phoenix St
Ste 910
Delavan, WI 53115
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Delavan, WI
- NPI 1942259171
-
- Optometrist
- Crandon, WI
- NPI 1477178259
-
- Optometrist
- Delavan, WI
- NPI 1063746055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373587200000",
"number": "1730370826",
"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": "531152340",
"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": {
"organization_name": "MORRISON EYE CLINIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2013-07-12",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "262-728-2667",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "1432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN CARE",
"identifier": "516110",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delavan, WI
- Mercy Health System Corporation (Mercy RHC Delavan)
- Mercy Health System Corporation (Mercy Delavan Medical Center)
- Michael Jason Moks, OTR/L
- Kelly S Moralez, DC
- Michael L Moralez, DC
- John Kenneth Morrison, O.D.
- Giovanna Marie Moses, O.D.
- Leroy Frederick Moyer, D.C.
- Erin Jeanne Murphy, COTA/L
- Allison S Murray, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.