Grene Vision Group LLC

NPI #1679785547 in Yates Center, Kansas

Provider Information

NPI Number: 1679785547
Entity Type: Organization
Organization Name: Grene Vision Group LLC
Primary Specialty: Optometrist
Enumeration Date: May 4, 2007
Last Updated: Feb 20, 2008

Practice Location

Address: 115 W BUTLER ST
City: Yates Center
State: Kansas
ZIP Code: 66783-1259
Phone: (620) 625-3311

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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