NPI | 1184821126 |
---|---|
Doing Business As | ACADEMY KIDS VISION |
Entity Type | Organization |
Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-323-2372 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1462) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-11-23 |