<Unavail>

LBN: Grene Vision Group Llc
<Unavail> is an health care organization with primary practice located at 1014 W 29Th St S , Wichita KS 67217-3114. 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) 613-2033, or through Davenport, Sheryl Lynn via phone (316) 858-3831.

Contact Information

Primary practice address
1014 W 29Th St S Wichita KS 67217-3114
Phone: (316) 613-2033
Fax: (316) 613-2237
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Sheryl Lynn
Phone: (316) 858-3831

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1598215006
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 7th, 2016
Last updated Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598215006 NPPES
Kansas MEDICAID 100217500A

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