NPI 1780158212 · live from the CMS NPI Registry
Aventure Vision Of Kansas City, LLC
Optometrist in Kansas City, KS. National Provider Identifier 1780158212, active.
NPI record
| NPI | 1780158212 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3716 State Ave Ste B, Kansas City, KS 66102 |
| Practice phone | 913-298-7360 |
| Mailing address | 2221 E Bijou St Ste 100, Colorado Springs, CO 80909 |
| Enumerated | January 17, 2019 |
| Last updated | September 18, 2019 |
| Authorized official | Michael Pharris, OD/Owner |
| Other names | Adventure Vision |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.