NPIMap

Organization Active NPI

Morrison Optometric Associates PA

Doing business as Vision Source Wray

  • Optometrist
  • Wray, CO
National Provider Identifier
1992318083
Registry record updated Aug 28, 2020
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 Wray
Practice address
415 Main St
Wray, CO 80758-1724
Phone
(970) 332-4823
Fax
(970) 332-4007
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MORRISON OPTOMETRIC ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mark F Wahlmeier, ODNPI 1144295031
Title
Owner
Phone
(785) 462-8231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

415 Main St
Wray, CO 80758-1724

Mailing address

1005 S Range Ave Ste 100
Colby, KS 67701-3538
Phone (785) 432-8231

Other names 1

  • Vision Source Wray Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090113000788 CO Part B Supplier - Clinic/Group Practice 8426005083 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlington, CO; Wray, CO; Yuma, CO
O20210126002254 CO DME Supplier - Physician - Optometrist 8426005083 Practice locations: Wray, CO

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 2

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 Wray415 Main St, Wray, CO 80758-1724(970) 332-4823 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 Optometric Associates PA7 organizations share this tax ID, including this one
Part of
Morrison Optometric Associates PA

Other organizations with this tax ID 6

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

Locations

1275 Rose Ave
Ste A
Burlington, CO 80807
Phone (719) 346-8415

105 S Main St
Yuma, CO 80759
Phone (970) 848-5345

312 State St
Atwood, KS 67730
Phone (785) 626-3229

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

180 W 6th St
Colby, KS 67701
Phone (785) 462-8231

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

1018 Main 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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1992318083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S RANGE AVE STE 100",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013538",
            "telephone_number": "785-432-8231",
            "fax_number": "785-462-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581724",
            "telephone_number": "970-332-4823",
            "fax_number": "970-332-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRISON OPTOMETRIC ASSOCIATES PA",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "WAHLMEIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-462-8231",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Wray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wray, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.