AKVC CENTRAL LLC NPI 1265836043

NPI Information

NPI: 1265836043
Provider Name: AKVC CENTRAL LLC

Doing Business As: ACADEMY KIDS DENTAL AND VISION

Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
883 N ACADEMY BLVD
COLORADO SPRINGS, CO
ZIP 80909
Phone: (714) 442-0071
Get Directions

AKVC CENTRAL LLC is a pediatrics optometrist in Colorado Springs, CO. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. AKVC CENTRAL LLC NPI is 1265836043. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Academy Kids Dental And Vision.

The provider's business location address is:

883 N ACADEMY BLVD
COLORADO SPRINGS, CO
ZIP 80909-307
Phone: (714) 442-0071
Fax: (719) 473-5303

The provider's authorized official is Samantha B Leblanc .
The authorized official title is Credentialing Specialist and has the following contact phone number (719) 323-2372.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist				No
2	152WP0200X	Optometrist	Pediatrics			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019177299	MEDICAID	DISTRICT OF COLUMBIA
2	3033	OTHER	OKLAHOMA	STATE
3	016627801	MEDICAID	MARYLAND
4	1796	OTHER	KANSAS	STATE
5	OPT732	OTHER	NEW MEXICO	STATE
6	200532530C	MEDICAID	KANSAS
7	27952291	MEDICAID	NEW MEXICO
8	310087377	MEDICAID	MISSOURI
9	97789054	MEDICAID	COLORADO
10	OP1000412	OTHER	DISTRICT OF COLUMBIA	STATE
11	OPT.0001462	OTHER	COLORADO	STATE
12	DA2086	OTHER	MARYLAND	STATE
13	200871800A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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