Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grene Vision Group LLC

Organization Optometrist · NPI 1417169780

Grene Vision Group LLC is an Optometrist in Derby, Kansas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 N Baltimore Ave
Derby, KS 67037
Phone: (316) 789-8383
Fax: (316) 789-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1417169780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheryl Davenport — Insurance Department Supervisor · (316) 858-3831
NPI enumeratedMay 7, 2007
Last updated in NPPESFebruary 20, 2008
Mailing address1851 N Webb Rd, Attn Flr2, Wichita, KS 67206-3413

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