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Contact Information

AKVC CENTRAL LLC
883 N ACADEMY BLVD
COLORADO SPRINGS, CO80909-8307
 Phone: 714-442-0071
 Fax: 719-473-5303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

152WP0200X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AKVC CENTRAL LLC · (Female)

NPI Number 1265836043
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2014
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 97789054
  • DC Medicaid 019177299
  • KS Medicaid 200532530C
  • MD Medicaid 016627801
  • MO Medicaid 310087377
  • NM Medicaid 27952291
  • OK Medicaid 200871800A
  • CO Other OPT.0001462 STATE
  • DC Other OP1000412 STATE
  • KS Other 1796 STATE
  • MD Other DA2086 STATE
  • NM Other OPT732 STATE
  • OK Other 3033 STATE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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