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Grene Vision Group Llc

Grene Vision Group Llc is a health care provider in Wichita, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1014 W 29th St S, Wichita, KS 67217-3114, US
Practice Location Phone316-613-2033
Practice Location Fax316-613-2237
Legal Business NameGRENE VISION GROUP LLC
Other Organization NameGRENE VISION GROUP
Other Organization Name TypeDoing Business As Name
NPI ?1598215006
Entity TypeOrganization
Enumeration Date ? Oct 7, 2016
Last Update Date ? Oct 7, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Grene Vision Group Llc

SpecialtySpecializationLicenseLicense State
Optometrist
Ophthalmology

legacy-id-icon Legacy Provider IDs of Grene Vision Group Llc

Provider IdIssuer StateIssuer TypeIssuer
100217500AKansasMedicaid

official-icon Authorized Official of Grene Vision Group Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Grene Vision Group Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sheryl Lynn Davenport
Authorized Official Title/PositionDIRECTOR CORPORATE ACCTS RECEIVABLE
Authorized Official Phone Number316-858-3831