Organization
ENIVISION INC
Active
Other names
Envision Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENT P WILSON (VICE PRESIDENT CEO)
(316) 425-7100
Entity
Organization
Contact information
Practice address
2301 S WATER ST, WICHITA, KS 67213-4819
(316) 682-4646
(316) 263-4116
Mailing address
2301 S WATER ST, WICHITA, KS 67213-4819
(316) 682-4646
(316) 263-4116
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4698810001
CIGNA MEDICARE
—
Enumeration date
08/18/2005
Last updated
08/22/2020
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