| NPI | 1659975118 |
|---|---|
| Doing Business As | ACADEMY KIDS VISION |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |