Organization
CHARLES H COLE OD & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H. COLE OD (OWNER)
(574) 269-5558
Entity
Organization
Contact information
Practice address
2934 FRONTAGE RD, WARSAW, IN 46580-3914
(574) 269-5558
(574) 269-3088
Mailing address
2934 FRONTAGE RD, WARSAW, IN 46580-3914
(574) 269-5558
(574) 269-3088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002042B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200485870A
—
IN
01
—
IN2042
EYEMED
IN
Enumeration date
03/30/2007
Last updated
01/19/2021
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