GRENE VISION GROUP LLC


Address: 115 E Broadway, Stafford, KS 67578
Phone: 6202345533

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider IDs and Locations

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

Office Location

Street Address 115 E BROADWAY
City STAFFORD
State KS
Zip Code 67578

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City STAFFORD
Zip Code 67578

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Dataset Information

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.

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