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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
1708 E 23RD AVE, HUTCHINSON, KS 67502-1114
(620) 663-7187
(620) 663-6447
Mailing address
1851 N WEBB RD, ATTN FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 691-4472

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
02/21/2008
Last updated
12/12/2013
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