Organization
VISION THERAPY OF WICHITA, INC.
Active
Other names
Wichita Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN B CLINE O.D. (OWNER/DOCTOR)
(316) 832-0088
Entity
Organization
Contact information
Practice address
12111 W MAPLE ST, SUITE 125, WICHITA, KS 67235-8755
(316) 832-0088
(316) 832-0029
Mailing address
12111 W MAPLE ST, SUITE 125, WICHITA, KS 67235-8755
(316) 832-0088
(316) 832-0029
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1295
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218790D
—
KS
Enumeration date
10/26/2006
Last updated
12/28/2009
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