Organization
VISION 2000, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L BURKE (CEO)
(877) 502-1209
Entity
Organization
Contact information
Practice address
2021 N AMIDON AVE, SUITE 13, WICHITA, KS 67203-2100
(877) 502-1209
(877) 219-2990
Mailing address
PO BOX 781838, WICHITA, KS 67278-1838
(877) 502-1209
(877) 219-2990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110654
BLUE CROSS BLUE SHIELD
KS
01
—
430800
FIRSTGUARD
KS
Enumeration date
07/10/2006
Last updated
08/22/2020
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