Grene Vision Group LLC

NPI #1790997534 in Haysville, Kansas

Provider Information

NPI Number
1790997534
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
1425 W GRAND AVE
Address 2
STE 111
State
Kansas
ZIP Code
67060
Phone
(316) 858-4558

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Ophthalmology
Optometrist

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