Grene Vision Group LLC

NPI #1295940633 in Winfield, Kansas

Provider Information

NPI Number: 1295940633
Entity Type: Organization
Organization Name: Grene Vision Group LLC
Primary Specialty: Optometrist
Enumeration Date: May 11, 2007
Last Updated: Feb 20, 2008

Practice Location

Address: 117 E NINTH
City: Winfield
State: Kansas
ZIP Code: 67156
Phone: (620) 221-0740

Authorized Official

Name: SHERYL DAVENPORT
Title: INSURANCE DEPARTMENT SUPERVISOR
Phone: (316) 858-3830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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