# AKVC NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Academy Kids Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013330208
- **Authorized official:** MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (719) 576-1850

## Contact information

- **Practice address:** 3630 AUSTIN BLUFFS PKWY STE 120, COLORADO SPRINGS, CO 80918-6663
- **Practice address phone:** (719) 304-5400
- **Practice address fax:** (719) 304-5409
- **Mailing address:** 2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
- **Mailing address phone:** (719) 576-1850
- **Mailing address fax:** (719) 576-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2014
- **Last updated:** 05/25/2021