Organization
AKVC NORTH LLC
Active
Other names
Academy Kids Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 576-1850
Entity
Organization
Contact information
Practice address
3630 AUSTIN BLUFFS PKWY STE 120, COLORADO SPRINGS, CO 80918-6663
(719) 304-5400
(719) 304-5409
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 576-1929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
05/25/2021
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