Provider Demographics
NPI:1871527564
Name:VISION 2000, LLC
Entity type:Organization
Organization Name:VISION 2000, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-502-1209
Mailing Address - Street 1:PO BOX 781838
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67278-1838
Mailing Address - Country:US
Mailing Address - Phone:877-502-1209
Mailing Address - Fax:877-219-2990
Practice Address - Street 1:2021 N AMIDON AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2100
Practice Address - Country:US
Practice Address - Phone:877-502-1209
Practice Address - Fax:877-219-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110654OtherBLUE CROSS BLUE SHIELD
KS430800OtherFIRSTGUARD
KS430800OtherFIRSTGUARD
KS430800OtherFIRSTGUARD