Akvc North LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AKVC NORTH LLC

Doing business as

Adventure Vision

Practice address

3630 Austin Bluffs Pkwy Ste 100-120
Colorado Springs, CO 80918-6661

Phone

(719) 268-0146

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

AKVC NORTH LLCAs reported in NPPES

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Vision Doing business as

Tax ID family

Akvc North LLC2 organizations share this tax ID, including this one

Part of

Akvc North LLC

Other organizations with this tax ID 1

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

• Akvc North LLC

  dba Academy Kids Vision

  • Medical Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1013330208
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Akvc North LLC

  dba Academy Kids Vision

  • Medical Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1013330208
  NPPES parent name

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1295339745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 AUSTIN BLUFFS PKWY STE 100-120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186661",
            "telephone_number": "719-268-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKVC NORTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AKVC NORTH LLC",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "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": "66874777",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akp LLC (Provision Learning)
• Alena Akse
• Akvc Central LLC (Academy Kids Dental and Vision)
• Akvc Central LLC (Adventure Vision)
• Akvc North LLC (Academy Kids Vision)
• Adora Akwuba, FNP-BC
• Dana Al Khatib, DDS
• Dina Atheer Al Lami I
• Lubna Al Sindy
• Diane Al-Abduljalil, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.