| NPI | 1598215006 |
|---|---|
| Doing Business As | GRENE VISION GROUP |
| Entity Type | Organization |
| Authorized Contact | SHERYL LYNN DAVENPORT Director Corporate Accts Receivable 316-858-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |