Organization
COLE VISION CORPORATION
Active
Other names
SEARS OPTICAL #C0015
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
6461 EEX FREEWAY, PARKDALE MALL, BEAUMONT, TX 77708-6706
(409) 898-9155
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(409) 898-9155
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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