Organization
KANSAS VISION DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JANE NUSZ (OFFICE MANAGER)
(316) 721-8877
Entity
Organization
Contact information
Practice address
746 N MAIZE RD STE 100, WICHITA, KS 67212-4571
(316) 721-8877
Mailing address
746 N MAIZE RD STE 100, WICHITA, KS 67212-4571
(316) 721-8877
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
DR BAKER 1521
KS
152WV0400X
Vision Therapy Optometrist
DR FISHER 1740
KS
152WV0400X
Vision Therapy Optometrist
Primary
DR PIROTTE 1228-2
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0650531
BCBS OF KS GROUP
KS
01
—
650808
BCBS OF KS DR PIROTTE
KS
01
—
650809
BCBS OF KS DR BAKER
KS
Enumeration date
03/28/2007
Last updated
08/22/2020
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