Organization
HERO VISION OF SANTA FE LLC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
2027 CERRILLOS RD, SANTA FE, NM 87505-3269
(505) 820-1212
(505) 820-1218
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(505) 820-1212
(505) 820-1218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78972353
—
NM
Enumeration date
01/05/2012
Last updated
09/09/2025
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