Organization
GRENE VISION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL DAVENPORT (INSURANCE DEPARTMENT SUPERVISOR)
(316) 858-3831
Entity
Organization
Contact information
Practice address
132 S MAIN, HILLSBORO, KS 67063
(620) 947-5631
(620) 947-3511
Mailing address
1851 N WEBB RD, ATTN FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 691-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
05/07/2007
Last updated
02/20/2008
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