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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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