Organization
MORRISON OPTOMETRIC ASSOCIATES, PA
Active
Other names
Vision Source of Burlington
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SHOAFF (PRACTICE MANAGER)
(785) 462-8231
Entity
Organization
Contact information
Practice address
498 15TH ST, BURLINGTON, CO 80807-1624
(719) 346-8415
Mailing address
498 15TH ST, BURLINGTON, CO 80807-1624
(719) 346-8415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2649
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76557758
—
CO
01
—
CS8632
RAILROAD MEDICARE
—
Enumeration date
04/08/2009
Last updated
04/03/2013
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