Organization
COLE VISION CORPORATION
Active
Other names
TARGET OPTICAL #C4415
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
11627 W HILLSBOROUGH AVE, TAMPA, FL 33635-9736
(813) 814-1860
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(813) 814-1860
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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