Organization
COLE VISION CORPORATION
Active
Other names
TARGET OPTICAL #C4185
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
2450 LAPORTE AVE, VALPARIASO, IN 46383-6914
(219) 531-6209
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(219) 531-6209
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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