ACADEMY KIDS DENTAL AND VISION – NPI #1265836043
Optometrist

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

ACADEMY KIDS DENTAL AND VISION is an optometrist located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1265836043 to ACADEMY KIDS DENTAL AND VISION on October 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACADEMY KIDS DENTAL AND VISION” is a dba name, the actual legal business name for this organization is AKVC CENTRAL LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WP0200X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Pediatrics

The NPI profile was previously updated about 5 years ago on Nov 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACADEMY KIDS DENTAL AND VISION below.

NPI Profile for
AKVC CENTRAL LLC

NPI Number
1265836043
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AKVC CENTRAL LLC
Doing Business As (dba): ACADEMY KIDS DENTAL AND VISION
Primary location
883 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909-8307
Phone: (714) 442-0071 Fax: (719) 473-5303
Mailing address
2221 E BIJOU ST.
STE. 100
COLORADO SPRINGS, CO 80909
Phone: (719) 442-0071 Fax: (719) 473-5303
Organization Subpart
No
Authorized Official
SAMANTHA LEBLANC
CREDENTIALING SPECIALIST
Phone: (719) 323-2372
Updated
Certification Date
Nov 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ACADEMY KIDS DENTAL AND VISION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERSTATECOOPT.0001462
OTHERSTATEDCOP1000412
OTHERSTATEKS1796
OTHERSTATEMDDA2086
OTHERSTATENMOPT732
OTHERSTATEOK3033
MEDICAIDCO97789054
MEDICAIDDC019177299
MEDICAIDKS200532530C
MEDICAIDMD016627801
MEDICAIDMO310087377
MEDICAIDNM27952291
MEDICAIDOK200871800A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WP0200X
- Optometrist / Pediatrics (Primary)
152W00000X
- Optometrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.