Organization
COLE VISION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE SUPERVISOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1515 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4742
(815) 633-1355
(815) 633-3013
Mailing address
1515 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4742
(815) 633-1355
(815) 633-3013
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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