Organization Active NPI

Mulvane Vision Care,P.a.

  • Vision Therapy Optometrist
  • Mulvane, KS
National Provider Identifier
1164597118
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1295 Issued in KS
Legal business name
MULVANE VISION CARE,P.A.
Practice address
415 SE Louis Dr
Mulvane, KS 67110-1205
Phone
(316) 777-0022
Fax
(316) 777-4342
NPI assigned
Nov 22, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin B Cline, O.D.NPI 1740393107
Title
Owner
Phone
(316) 777-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 1295 KS Primary

Addresses

Primary practice location

415 SE Louis Dr
Mulvane, KS 67110-1205

Mailing address

415 SE Louis Dr
Mulvane, KS 67110-1205
Phone (316) 777-0022

National Provider Directory

National Provider Directory

Locations

415 SE Louis Dr
Mulvane, KS 67110
Phone (316) 777-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1164597118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SE LOUIS DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671101205",
            "telephone_number": "316-777-0022",
            "fax_number": "316-777-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SE LOUIS DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671101205",
            "telephone_number": "316-777-0022",
            "fax_number": "316-777-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULVANE VISION CARE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-777-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mulvane, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.