<Unavail>
LBN: Grene Vision Group Llc
<Unavail> is an health care organization with primary practice located at 5231 E Central Ave Suite D, Wichita KS 67208-4195. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Grene Vision Group Llc can be contacted via phone (316) 858-3831, or through Davenport, Sheryl Lynn via phone (316) 858-3831.
Contact Information
Primary practice address
5231 E Central Ave Suite D
Wichita KS 67208-4195
Phone: (316) 858-3831
Fax: (316) 858-3830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1588115000 |
|---|---|
| LBN Legal business name | Grene Vision Group Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Davenport, Sheryl Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Oct 19th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588115000 | NPPES |
| Kansas | MEDICAID | 100217500A |
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