CLARISSA GREENLEAF COA
NPI 1174220453
Technician/Technologist - Ophthalmic Assistant in Wichita, KS

Active since February 08, 2023
949 S GLENDALE ST, WICHITA, KS 67218(316) 685-2221 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clarissa Greenleaf Coa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA GREENLEAF COA (NPI 1174220453) is an individual ophthalmic assistant in Wichita, Kansas, licensed in Kansas (209486) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1174220453
Entity TypeIndividualFemale
Primary Taxonomy156FX1101X
Provider Legal NameCLARISSA GREENLEAFCredential: COA
Location Address949 S GLENDALE STWichita, KS 67218-3210
Mailing Address5500 E Kellogg DrWichita, KS 67218-1607 · (316) 685-2221
Sole ProprietorNo
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
NPI 1174220453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · Ophthalmic AssistantEye and Vision Services Providers
Taxonomy Code156FX1101X
License Licensed in KS · 209486
Definition

An ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic eye testing.

949 S GLENDALE ST, Wichita, KS 67218

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218
Technician/Technologist (Ophthalmic Assistant)
949 S GLENDALE ST
WICHITA, KS 67218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174220453, enumerated as an "individual" on February 08, 2023.

The provider is located at 949 S GLENDALE ST WICHITA, KS 67218 and the phone number is (316) 685-2221.

Technician/Technologist with taxonomy code 156FX1101X and a focus in Ophthalmic Assistant.