Organization
COLE VISION CORPORATION
Active
Other names
Sears Optical #C0559
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1750 DEPTFORD CENTER RD, DEPTFORD MALL, DEPTFORD, NJ 08096-5222
(856) 384-2035
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(856) 384-2035
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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