National Provider Identifier Database

AKVC CENTRAL LLC
Pediatrics

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Contact Information

AKVC CENTRAL LLC
883 N ACADEMY BLVD
COLORADO SPRINGS, CO  80909-8307
Phone: 714-442-0071
Fax: 719-473-5303
Website:
Specialty Taxonomy Code
* Pediatrics 152WP0200X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for AKVC CENTRAL LLC

NPI Number 1265836043
Legal business name
LBN		 AKVC CENTRAL LLC
Authorized official SAMANTHA LEBLANC - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 10/22/2014
Last updated 11/15/2021 - About 5 years ago
Sole proprietor1 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

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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