GRENE VISION GROUP LLC (NPI# 1104038959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104038959 |
Entity Type | Organization |
Organization Name | GRENE VISION GROUP LLC |
Practice Address |
115 E Broadway Stafford KS 67578 |
Mailing Address |
1851 N Webb Rd Attn Flr2 Wichita KS 67206-3413 |
Practice Telephone | 6202345533 |
Practice Fax Number | 6206638101 |
Mailing Telephone | 3166362010 |
Mailing Fax Number | 3166914408 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-02-20 |
Authorized Official Name | SHERYL DAVENPORT (INSURANCE DEPARTMENT SUPERVISOR) |
Authorized Official Telephone | 3168583831 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861937161 | Grene Vision Group LLC | Optometrist | 121 Old Mill St, Buhler, KS 67522-2228 | 2016-12-23 |
1740495100 | Grene Vision Group LLC | Ophthalmology | 420 N Washington Ave, Wellington, KS 67152-4060 | 2007-05-11 |
1235341595 | Grene Vision Group LLC | Ophthalmology | 132 S Main, Hillsboro, KS 67063 | 2007-05-07 |
1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
1417169780 | Grene Vision Group LLC | Ophthalmology | 620 N Baltimore Ave, Derby, KS 67037 | 2007-05-07 |
1891907622 | Grene Vision Group LLC | Ophthalmology | 1508 Madison, Fredonia, KS 66736 | 2007-05-04 |
1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
1649482282 | Grene Vision Group LLC | Ophthalmology | 111 West First, Lyons, KS 67554 | 2007-05-04 |
1679785547 | Grene Vision Group LLC | Ophthalmology | 115 W Butler St, Yates Center, KS 66783-1259 | 2007-05-04 |
1043422769 | Grene Vision Group LLC | Ophthalmology | 1277 N Maize Rd, Wichita, KS 67212 | 2007-05-04 |
Street Address |
115 E BROADWAY |
City | STAFFORD |
State | KS |
Zip Code | 67578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669451084 | Thomas Anderson Bauer | Internal Medicine | 602 South Buckeye Avenue, Stafford, KS 67578 | 2006-01-13 |
1093896805 | Pratt Regional Medical Center Corporation | Clinic/Center | 802 W Broadway, Stafford, KS 67578 | 2006-10-18 |
1174612105 | Fredrick J Farmer IIi | Family Medicine | 802 W Broadway, Stafford, KS 67578 | 2006-10-11 |
1124117163 | Jill Burbank | Physician Assistant | 802 W Broadway, Stafford, KS 67578 | 2006-10-11 |
1295840999 | Stafford County Hospital | General Acute Care Hospital | 502 South Buckeye Street, Stafford, KS 67578-0190 | 2006-08-20 |
1437258779 | Stafford County Hospital | Medicare Defined Swing Bed Unit | 502 South Buckeye Street, Stafford, KS 67578-0190 | 2006-09-22 |
1649331281 | Tamara L Farmer | Clinical Nurse Specialist | 802 West Broadway, Stafford, KS 67578-0309 | 2006-12-13 |
1750472429 | Pratt Regional Medical Center Corporation | Clinic/Center | 802 W Broadway St, Stafford, KS 67578-1402 | 2006-09-27 |
1902847072 | Charles L Craig | Physician Assistant | 218 S Union St, Stafford, KS 67578-1428 | 2006-06-09 |
1609100452 | Stafford Usd 349 | Local Education Agency (LEA) | 318 E Broadway St, Stafford, KS 67578-1807 | 2009-09-28 |
Find all providers in zip 67578 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881153278 | Robin S Choi | Optometrist | 1515 Stafford Market Pl Ste 121, Stafford, VA 22556-4531 | 2019-03-15 |
1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
1649680463 | Mai Q Nguyen Od PC | Optometrist | 11210 W Airport Blvd Ste A, Stafford, TX 77477-3068 | 2014-05-01 |
1528184447 | Jenise Mancini | Optometrist | 45 Doc Stone Rd, 101, Stafford, VA 22556-4555 | 2007-03-22 |
1063578524 | Stafford Optometry, LLC | Optometrist | 1515 Stafford Market Pl, Ste. 121, Stafford, VA 22556-4531 | 2006-12-29 |
1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
1639156896 | Benoit Adrian Biscombe | Optometrist | 2761 Jefferson Davis Hwy, Ste 205, Stafford, VA 22554-8329 | 2005-12-29 |
1598388001 | Ariel J Taylor | Optometrist | 1515 Stafford Market Pl Ste 121, Stafford, VA 22556-4531 | 2020-05-19 |
1245888932 | Alan Mach Wong | Optometrist | 217 Garrisonville Rd, Stafford, VA 22554-1527 | 2019-08-27 |
1689139412 | Elizabeth Hoang | Optometrist | 11210 W Airport Blvd, Stafford, TX 77477-3068 | 2019-02-06 |
Find all providers in STAFFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.