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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

NPI # 1265836043
LBN Legal business name AKVC CENTRAL LLC
Authorized official SAMANTHA LEBLANC - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2014
Last updated 11/15/2021 - About 5 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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