Organization
HERO VISION OF AURORA LLC
Active
Other names
Adventure Dental Vision and Orthondontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
15121 E MISSISSIPPI AVE, AURORA, CO 80012-3746
(303) 802-1022
(303) 802-1023
Mailing address
2221 E BIJOU ST, COLORADO SPRINGS, CO 80909
(303) 802-1022
(303) 802-1023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14724570
—
CO
Enumeration date
02/28/2013
Last updated
11/23/2020
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