HV Lakewood LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HV LAKEWOOD LLC

Practice address

6695 W Colfax Ave
Lakewood, CO 80214-1805

Phone

(720) 279-2266

Fax

(303) 957-9787

NPI assigned

Aug 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Samantha B Leblanc

Title

Credentialing Specialist

Phone

(719) 323-2372

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Dental Vision and Orthodontics Doing business as

Tax ID family

HV Lakewood LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• HV Lakewood

  • Optometrist
  • Lakewood, CO
  • NPI 1558747923
  NPD tax ID
• HV Lakewood LLC

  • Optometrist
  • Lakewood, CO
  • NPI 1649874108
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1285010058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST.",
            "address_2": "STE. 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "720-279-2266",
            "fax_number": "303-957-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141805",
            "telephone_number": "720-279-2266",
            "fax_number": "303-957-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HV LAKEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "719-323-2372",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14574250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental Vision and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Alan Hutchinson, P.T.
• Patricia Ann Hutt, PT
• Haley Hutton
• Ashley Anne Huyck
• HV Lakewood
• HV Lakewood LLC
• Gwang-Yi Hwang, M.D.
• Rich Iacovetta, RPH
• Christen Ibarra
• Gary Arthur Ibave, LCSW,MSW

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.