Provider Demographics
NPI:1003252305
Name:MORRISON OPTOMETRIC ASSOCIATES, PA
Entity Type:Organization
Organization Name:MORRISON OPTOMETRIC ASSOCIATES, PA
Other - Org Name:VISION SOURCE OF ST FRANCIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-462-8231
Mailing Address - Street 1:1005 S RANGE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-3537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 W. WASHINGTON
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:KS
Practice Address - Zip Code:67756
Practice Address - Country:US
Practice Address - Phone:785-462-8231
Practice Address - Fax:785-462-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty