Grene Vision Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GRENE VISION GROUP LLC

Practice address

1708 E 23Rd Ave
Hutchinson, KS 67502-1114

Phone

(620) 663-7187

Fax

(620) 663-6447

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Sheryl Davenport

Title

Insurance Department Supervisor

Phone

(316) 858-3831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1356510531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "address_2": "ATTN FLR2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-636-2010",
            "fax_number": "316-691-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021114",
            "telephone_number": "620-663-7187",
            "fax_number": "620-663-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENE VISION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT SUPERVISOR",
        "authorized_official_telephone_number": "316-858-3831"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Graves, MD
• Larisa Gray
• Ashleigh Nicole Green
• Michael Scott Green, MD
• Grene Vision Group LLC
• Grene Vision Group LLC
• Samantha Ray Griffin, LMFT
• Stefanie D Griggs, LSCSW
• Bailey N Grilliot, PTA
• Derek Grimmell, PHD

• Optometrist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.