Grene Vision Group LLC

NPI #1740495100 in Wellington, Kansas

Provider Information

NPI Number
1740495100
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
420 N WASHINGTON AVE
State
Kansas
ZIP Code
67152-4060
Phone
(620) 326-3431

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Ophthalmology
Optometrist

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