Organization
HERO VISION OF WICHITA, LLC
Active
Other names
Adventure Vision of Wichita
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. PHARRIS O.D. (OWNER)
(719) 576-1850
Entity
Organization
Contact information
Practice address
1255 LAKE PLAZA DR, SUITE 270, COLORADO SPRINGS, CO 80906-3500
(719) 576-1850
Mailing address
1901 W 21ST ST N, WICHITA, KS 67203-2106
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1796
KS
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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