NPI 1740393107 · live from the CMS NPI Registry
Kevin B. Cline, O.D.,FCOVD
Optometrist, Vision Therapy in Wichita, KS. National Provider Identifier 1740393107, active.
NPI record
| NPI | 1740393107 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Vision Therapy 152WV0400X |
| Practice location | 12111 W Maple St, Wichita, KS 67235 |
| Practice phone | 316-942-7496 |
| Mailing address | 415 Se Louis Dr, Mulvane, KS 67110 |
| Enumerated | August 17, 2006 |
| Last updated | May 31, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1295 (KS) |
| Optometrist, Pediatrics | 152WP0200X | 1295 (KS) |
| Optometrist, Vision Therapy primary | 152WV0400X | 1295 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.