Grene Vision Group LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GRENE VISION GROUP LLC

Doing business as

Grene Vision Group

Practice address

121 Old Mill St
Buhler, KS 67522-2228

Phone

(620) 543-2400

Fax

(620) 543-2496

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal K Page

Title

Cfo

Phone

(316) 609-2120

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grene Vision Group Doing business as

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1861937161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-858-3831",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OLD MILL ST",
            "city": "BUHLER",
            "state": "KS",
            "postal_code": "675222228",
            "telephone_number": "620-543-2400",
            "fax_number": "620-543-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENE VISION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-609-2120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grene Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Buhler Usd 313
• Kimberly Jo Combs, OTR/L
• Jennifer Suzanne Ewing, CPTA
• Kaytlyn Rayne Gehring
• Jose L. Gloria, LMSW
• Alta Hawkins
• Dalton L. Hunt, D.D.S.
• Muth Chiropractic LLC
• Ross M Muth, D.C.
• Taegen Ann Pedigo

• Ophthalmology Physician in Buhler, KS
• Providers in Buhler, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.