Organization
COLE VISION CORPORATION
Active
Other names
SEARS OPTICAL #C0203
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1602 N STATE ROUTE 50, NORTHFIELD SQUARE, BOURBONNAIS, IL 60914-9304
(815) 937-8341
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(815) 937-8341
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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