Organization
COLE VISION CORPORATION
Active
Other names
TARGET OPTICAL #C4051
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
356 12TH ST SW, FOREST LAKE, MN 55025-1749
(651) 464-1955
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(651) 464-1955
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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