Provider Demographics
NPI:1851481295
Name:BARGER, GREYSON (OD)
Entity Type:Individual
Prefix:DR
First Name:GREYSON
Middle Name:
Last Name:BARGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8677 E 32ND ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4033
Mailing Address - Country:US
Mailing Address - Phone:316-337-5500
Mailing Address - Fax:
Practice Address - Street 1:8677 E 32ND ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4033
Practice Address - Country:US
Practice Address - Phone:316-337-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTA1763152W00000X, 152W00000X
DCOP100129152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist