Organization
YOUTH VISION OF AURORA, LLC
Active
Other names
Aurora Youth Dental & Vision, Aurora Youth Vision
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOGAN (AUTHORIZED OFFICIAL)
(719) 200-5653
Entity
Organization
Contact information
Practice address
14251 E 6TH AVE, AURORA, CO 80011-8706
(303) 343-3133
(719) 960-2654
Mailing address
14251 E 6TH AVE, AURORA, CO 80011-8706
(303) 343-3133
(303) 343-3139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000152116
—
CO
Enumeration date
09/07/2017
Last updated
06/24/2020
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