NPIMap

Organization Active NPI

Enivision Inc

  • Low Vision Rehabilitation Optometrist
  • Wichita, KS
National Provider Identifier
1184616807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
ENIVISION INC
Practice address
2301 S Water St
Wichita, KS 67213-4819
Phone
(316) 682-4646
Fax
(316) 263-4116
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kent P Wilson
Title
Vice President Ceo
Phone
(316) 425-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

Primary practice location

2301 S Water St
Wichita, KS 67213-4819

Mailing address

2301 S Water St
Wichita, KS 67213-4819
Phone (316) 682-4646

Other identifiers 1

IdentifierTypeStateIssuer
4698810001OtherCIGNA MEDICARE

Other names 1

  • Envision Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

2301 S Water St
Wichita, KS 67213
Phone (316) 267-2244

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184616807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134819",
            "telephone_number": "316-682-4646",
            "fax_number": "316-263-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134819",
            "telephone_number": "316-682-4646",
            "fax_number": "316-263-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENIVISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT CEO",
        "authorized_official_telephone_number": "316-425-7100"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "4698810001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.