Organization
YOUR CHILDS EYES LLC
Active
Other names
Academy Kids 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
2857 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-2312
(719) 329-1221
(719) 329-1511
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(719) 329-1221
(719) 329-1511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1462
CO
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21351821
—
CO
Enumeration date
07/02/2007
Last updated
11/23/2020
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