Organization
EYE SURGERY CENTER OF WICHITA, LLC
Active
Other names
Team Vision Surgery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L BROWN R.N. (ADMINISTRATIVE DIRECTOR)
(316) 681-2020
Entity
Organization
Contact information
Practice address
834 N SOCORA ST, WICHITA, KS 67212-3238
(316) 729-6000
(316) 729-6241
Mailing address
6100 E CENTRAL AVE, WICHITA, KS 67208-4237
(316) 681-2020
(316) 684-4939
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
SO87009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1181
PPK & PHS
KS
Enumeration date
06/24/2006
Last updated
08/22/2020
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