| NPI | 1700247228 |
|---|---|
| Doing Business As | ACADEMY KIDS VISION |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-323-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2021-04-14 |