Organization Active NPI

Vision Therapy of Wichita, Inc.

  • Vision Therapy Optometrist
  • Wichita, KS
National Provider Identifier
1922183151
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1295 Issued in KS
Legal business name
VISION THERAPY OF WICHITA, INC.
Practice address
12111 W Maple St
Suite 125
Wichita, KS 67235-8755
Phone
(316) 832-0088
Fax
(316) 832-0029
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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.
Title
Owner/Doctor
Phone
(316) 832-0088

Specialties & licenses 1

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

Addresses

Primary practice location

12111 W Maple St
Suite 125
Wichita, KS 67235-8755

Mailing address

12111 W Maple St
Suite 125
Wichita, KS 67235-8755
Phone (316) 832-0088

Other identifiers 1

IdentifierTypeStateIssuer
100218790DMedicaidKS

Other names 1

  • Wichita Vision Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1922183151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 W MAPLE ST",
            "address_2": "SUITE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358755",
            "telephone_number": "316-832-0088",
            "fax_number": "316-832-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 W MAPLE ST",
            "address_2": "SUITE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358755",
            "telephone_number": "316-832-0088",
            "fax_number": "316-832-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY OF WICHITA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "316-832-0088",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218790D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wichita Vision Care",
            "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 Dec 28, 2009; 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.