Provider Demographics
NPI:1124299250
Name:INSIGHT VISION CENTER LLC
Entity type:Organization
Organization Name:INSIGHT VISION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-390-6700
Mailing Address - Street 1:11148 S LONE ELM RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-9434
Mailing Address - Country:US
Mailing Address - Phone:913-390-6700
Mailing Address - Fax:913-390-6705
Practice Address - Street 1:11148 S LONE ELM RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-9434
Practice Address - Country:US
Practice Address - Phone:913-390-6700
Practice Address - Fax:913-390-6705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty