Organization
COLE VISION CORPORATION
Active
Other names
SEARS OPTICAL #C0635
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICAER ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
6301 NW LOOP 410, INGRAM PARK MALL, SAN ANTONIO, TX 78238-3824
(210) 523-4068
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(210) 523-4068
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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