Active NPI
Vision Therapy of Wichita, Inc.
- Vision Therapy Optometrist
- Wichita, KS
National Provider Identifier
1922183151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100218790D | Medicaid | KS |
Other names 1
- Wichita Vision Care
National Provider Directory
National Provider DirectoryPractitioners & 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.