Academy Kids Vision Center LLC
NPI 1902400468ActiveOrganization· Optometrist· Colorado Springs, CO
Optometrist in Colorado Springs, Colorado, registered in NPPES in November 2020, part of Academy Kids Vision Center LLC. The authorized official on file is Shaun Urbanozo, Credentialing Manager.
Overview
| NPI | 1902400468 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Academy Kids Vision Center LLC |
| NPI issued | Nov 25, 2020 |
| Last updated in NPPES | Nov 25, 2020 |
| Certified by provider | Nov 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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