Dasa V Gangadhar (NPI# 1023083409, PAC ID# 9638212442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1023083409 |
| PAC ID by PECOS | 9638212442 |
| Professional Enrollment ID | I20100308000257 |
| Full Name | Dasa V Gangadhar |
| Organization Legal Name | GRENE VISION GROUP LLC |
| Address |
655 N Woodlawn St Wichita KS 67208-3648 |
| Phone Number | 3166845158 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1988 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1254324023 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170027 | PRATT REGIONAL MEDICAL CENTER |
| 170123 | WESLEY MEDICAL CENTER |
| 171378 | KINGMAN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 655 N Woodlawn St, Wichita, KS 67208-3648 | 3166845158 | GRENE VISION GROUP LLC |
| Organization Legal Name | GRENE VISION GROUP LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Thaison Truong | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Jenna R Johnson | Optometry | Grene Vision Group LLC | 1708 E 23rd St, Hutchinson, KS 67502-1114 |
| Michele M Riggins | Ophthalmology | Grene Vision Group LLC | 1277 N Maize Rd, Grene Vision Group, Wichita, KS 67212-4302 |
| Jaryl D Ollenburger | Optometry | Grene Vision Group LLC | 1708 E 23rd Ave, Hutchinson, KS 67502-1199 |
| Donald B Scrafford | Ophthalmology | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Kirby K Ray | Optometry | Grene Vision Group LLC | 611 N Main St, Neodesha, KS 66757-1632 |
| Anthony K Hartness | Optometry | Grene Vision Group LLC | 135 S Andover Rd, Andover, KS 67002-8037 |
| Steven P Miller | Optometry | Grene Vision Group LLC | 111 W, 1st, Lyons, KS 67554-1901 |
| Robin L Agpoon | Optometry | Grene Vision Group LLC | 1821 E Madison Ave, Suite 1600, Derby, KS 67037-2367 |
| Betty J Cantrell | Optometry | Grene Vision Group LLC | 1508 Madison St, Fredonia, KS 66736-1728 |
| Street Address |
655 N WOODLAWN ST |
| City | WICHITA |
| State | KS |
| Zip | 67208-3648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Thaison Truong | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Diana Miriam Leitner | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Anita Campbell | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Terria L Winn | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Alan R Hromas | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Charles Roy Whitfill | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Samuel W Amstutz | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| David M Chacko | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| C Eric Shrader | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy R Foster | Optometry | 2020 N Woodlawn St, Suite 390, Wichita, KS 67208-1883 | |
| Nghiep Q Trieu | Chiropractic | 2020 N Woodlawn St, Suite 660, Wichita, KS 67208-1887 | |
| Earl F George | General Practice | 2146 N Old Manor Rd, Wichita, KS 67208-2510 | |
| Akash C Joshi | Diagnostic Radiology | Wichita Radiological Group Prof Assoc | 3232 E Murdock St, Cypress Womens Imaging, Wichita, KS 67208-3003 |
| Angela M Hansen | Nurse Practitioner | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| Clifford S Depew | Obstetrics/gynecology | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| Hilary E Rainbolt | Obstetrics/gynecology | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| James E Delmore | Obstetrics/gynecology | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| Kerri A Hild | Obstetrics/gynecology | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| Jacqueline M Morgan | Obstetrics/gynecology | Associates In Womens Health Pa | 3232 E Murdock St, Wichita, KS 67208-3003 |
| Find all physicians in zip 67208 | |||
| City | WICHITA |
| Zip Code | 67208 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WICHITA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Dasa V Gangadhar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.