| C Eric Shrader, | |
|
655 N Woodlawn, Wichita, KS 67208 | |
| (316) 684-5158 | |
| (316) 858-3830 |
| Full Name | C Eric Shrader |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 655 N Woodlawn, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093781320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0418471 (Kansas) | Primary |
| Entity Name | Grene Vision Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627562 PECOS PAC ID: 1254324023 Enrollment ID: O20040407000095 |
| Mailing Address | Practice Location Address |
|---|---|
| C Eric Shrader, 1851 N Webb Rd, Attn Flr2, Wichita, KS 67206-3413 Ph: (316) 636-2010 | C Eric Shrader, 655 N Woodlawn, Wichita, KS 67208 Ph: (316) 684-5158 |
David M Kahn, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 818 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-651-2300 Fax: 316-651-2358 | |
Dasa V Gangadhar, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 655 N Woodlawn, Wichita, KS 67206 Phone: 316-684-5158 Fax: 316-681-1005 | |
Dr. David A Kingrey, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 1100 N Topeka St, Wichita, KS 67214 Phone: 316-263-6273 Fax: 316-263-5568 | |
Dr. Anita Campbell, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1277 N Maize Rd, Wichita, KS 67212 Phone: 316-722-8883 Fax: 316-609-4740 | |
Michael S Bolt, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 834 N Socora, Ste 2, Wichita, KS 67212 Phone: 316-722-8883 Fax: 316-721-4864 | |
Terria L Winn, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 834 N Socora St, Wichita, KS 67212 Phone: 316-722-8883 Fax: 316-721-4864 |