Grene Vision Group LLC
NPI 1417169780ActiveOrganization· Optometrist· Derby, KS
Optometrist in Derby, Kansas, registered in NPPES in May 2007. The authorized official on file is Sheryl Davenport, Insurance Department Supervisor.
Overview
| NPI | 1417169780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2007 |
| Last updated in NPPES | Feb 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Ophthalmology | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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