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Organization

COLE VISION CORPORATION

Active
Other names
SEARS OPTICAL #C0681
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization

Contact information

Practice address
824 HARTEFORD TRNPKE, CRYSTAL MALL, WATERFORD, CT 06385-4202
(860) 447-5379
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(860) 447-5379

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/22/2010
Last updated
04/22/2010
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