Organization
COLE VISION CORPORATION
Active
Other names
Sears Optical #C0084
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1 SUSQUEHANNA VALLEY MALL DR, SUSQUEHANNA VALLEY MALL, SELINSGROVE, PA 17870-1271
(570) 374-7911
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(570) 374-7911
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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