NPIMap

Organization Active NPI

Hero Vision of Denver LLC

  • Optometrist
  • Denver, CO
National Provider Identifier
1962762765
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HERO VISION OF DENVER LLC
Practice address
1407 W 84TH Ave Unit B8
Denver, CO 80260-4753
Phone
(720) 214-4746
Fax
(720) 214-4745
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1407 W 84TH Ave Unit B8
Denver, CO 80260-4753

Mailing address

2221 E Bijou St
Ste 100
Colorado Springs, CO 80909
Phone (720) 214-4746

Other identifiers 1

IdentifierTypeStateIssuer
65779843MedicaidCO

Other names 1

  • Adventure Dental Vision and Orthondontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hero Vision of Denver LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1407 W 84th Ave
Denver, CO 80260
Phone (720) 255-0532

1407 W 84th Ave
Ste 8
Denver, CO 80260

1407 W 84th Ave
Ste 7
Denver, CO 80260

1407 W 84th Ave
Ste B
Denver, CO 80260

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1962762765",
    "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": "720-214-4746",
            "fax_number": "720-214-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 84TH AVE UNIT B8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604753",
            "telephone_number": "720-214-4746",
            "fax_number": "720-214-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "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": "65779843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental Vision and Orthondontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • 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.