GRENE VISION GROUP LLC
NPI 1891907622
Optometrist in Fredonia, KS
About Grene Vision Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRENE VISION GROUP LLC (NPI 1891907622) is a healthcare organization registered as an optometrist in Fredonia, Kansas and active in the NPI registry since May 2007. The organization lists Sheryl Davenport, Insurance Department Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grene Vision Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Grene Vision Group LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 45Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grene Vision Group LLC's NPI number?
The NPI number for Grene Vision Group LLC is 1891907622. It was assigned to this organization in the NPPES registry on May 4, 2007.
Where is Grene Vision Group LLC located?
Grene Vision Group LLC is located at 1508 Madison, Fredonia, KS 66736. The listed phone number is (620) 378-3761.
What is Grene Vision Group LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Grene Vision Group LLC enrolled in Medicare?
Yes. Grene Vision Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grene Vision Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 2 Medicare specialties reassign their Medicare billing to Grene Vision Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (31) and Ophthalmology (14). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grene Vision Group LLC accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Grene Vision Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grene Vision Group LLC was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grene Vision Group Llc · NPI 1891907622
Optometrist organization in Fredonia, Kansas. Organization record, active in the CMS NPPES registry since May 4, 2007.
## Identity
- **NPI:** 1891907622 (Entity type: Organization)
- **Enumerated:** May 4, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Sheryl Davenport, INSURANCE DEPARTMENT SUPERVISOR
## Practice location
- **Address:** 1508 MADISON, Fredonia, KS 66736
- **Phone:** (620) 378-3761 · **Fax:** (620) 378-4245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (31), Ophthalmology (14); [full list](https://npiprofile.com/npi/1891907622/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2008
- **Other identifiers:** Medicare NSC 1066720017 (KS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1891907622) · Data from the CMS NPPES public registry.