Organization
ADVENTURE VISION PARKLANE LLC
Active
Other names
Adventure Dental and Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
980 S OLIVER ST, WICHITA, KS 67218-3216
(316) 221-3008
(316) 221-3015
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909
(316) 221-3008
(316) 221-3015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
KS
Other
Enumeration date
01/25/2016
Last updated
09/09/2025
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