Organization
ACADEMY KIDS VISION CENTER LLC
Active
Other names
Academy Kids 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
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(719) 391-2336
(719) 391-1625
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(719) 391-2336
(719) 391-1625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25100343
—
CO
Enumeration date
06/11/2008
Last updated
04/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us