| NPI | 1013330208 |
|---|---|
| Doing Business As | ACADEMY KIDS VISION |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-576-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2021-05-25 |