Organization
HERO VISION OF DENVER 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
1407 W 84TH AVE UNIT B8, DENVER, CO 80260-4753
(720) 214-4746
(720) 214-4745
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909
(720) 214-4746
(720) 214-4745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65779843
—
CO
Enumeration date
05/25/2012
Last updated
11/23/2020
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