Grene Vision Group
LBN: Grene Vision Group Llc
Grene Vision Group 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:
Health care specialties
| Specialty | Code | License # | 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 | Grene Vision Group |
| Authorized official | Davenport, Sheryl Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2016 |
| Last updated | Oct 7th, 2016 - about 9 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 | 1598215006 | NPPES |
| Kansas | MEDICAID | 100217500A |
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