Grene Vision Group LLC

NPI #1235341595 in Hillsboro, Kansas

Provider Information

NPI Number
1235341595
Entity Type
Organization
Organization Name
Grene Vision Group LLC
Primary Specialty
Optometrist
Enumeration Date
May 7, 2007
Last Updated
Feb 20, 2008

Practice Location

Address
132 S MAIN
State
Kansas
ZIP Code
67063
Phone
(620) 947-5631

Authorized Official

Name
SHERYL DAVENPORT
Title
INSURANCE DEPARTMENT SUPERVISOR
Phone
(316) 858-3831

Specialties & Taxonomy Codes

Specialty
Ophthalmology
Optometrist

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