Provider Demographics
NPI:1508203357
Name:HUNTER FAMILY VISION, PA
Entity Type:Organization
Organization Name:HUNTER FAMILY VISION, PA
Other - Org Name:HUNTER FAMILY VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-381-2323
Mailing Address - Street 1:8201 MISSION RD
Mailing Address - Street 2:#104
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5212
Mailing Address - Country:US
Mailing Address - Phone:913-381-2323
Mailing Address - Fax:
Practice Address - Street 1:8201 MISSION RD
Practice Address - Street 2:#104
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5212
Practice Address - Country:US
Practice Address - Phone:913-381-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTER FAMILY VISION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1621152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty