Organization
HERO VISION OF DC PLLC
Active
Parent organization
HERO VISION OF DC PLLC
Other names
Adventure Dental and Vision
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERO VISION OF DC PLLC
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 576-1850
Entity
Organization
Contact information
Practice address
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019-2661
(202) 397-1033
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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