Organization
AKVC CENTRAL LLC
Active
Organization
AKVC CENTRAL LLC
Active
Other names
Academy Kids 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
883 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-8307
(714) 442-0071
(719) 473-5303
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(719) 442-0071
(719) 473-5303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016627801
—
MD
05
—
019177299
—
DC
01
—
1796
STATE
KS
05
—
200532530C
—
KS
05
—
200871800A
—
OK
05
—
27952291
—
NM
01
—
3033
STATE
OK
05
—
310087377
—
MO
05
—
97789054
—
CO
01
—
DA2086
STATE
MD
01
—
OP1000412
STATE
DC
01
—
OPT.0001462
STATE
CO
01
—
OPT732
STATE
NM
Enumeration date
10/22/2014
Last updated
11/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up