Organization
VISION 2000 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN L BURKE (CEO)
(316) 371-6936
Entity
Organization
Contact information
Practice address
2021 N AMIDON AVE STE 13, WICHITA, KS 67203-2100
(316) 832-1558
Mailing address
PO BOX 781838, WICHITA, KS 67278-1838
(316) 832-1558
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004093501A
—
KS
Enumeration date
05/16/2007
Last updated
08/22/2020
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