Provider Demographics
NPI:1740803311
Name:VIEWPOINT OPTOMETRY LLC
Entity Type:Organization
Organization Name:VIEWPOINT OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-204-3311
Mailing Address - Street 1:2204 N LONGWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1157
Mailing Address - Country:US
Mailing Address - Phone:316-204-3311
Mailing Address - Fax:316-799-8784
Practice Address - Street 1:2727 N MAIZE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-7311
Practice Address - Country:US
Practice Address - Phone:316-722-1695
Practice Address - Fax:316-799-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100322210CMedicaid
650853OtherBLUE CROSS BLUE SHIELD OF KANSAS