Organization
ADVENTURE VISION LLC
Active
Other names
Adventure 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
1901 W 21ST ST., WICHITA, KS 67203-2106
(316) 832-2838
(316) 832-9530
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(316) 832-2838
(316) 832-9530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536800A
—
KS
Enumeration date
11/01/2007
Last updated
09/09/2025
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