Cole Vision Corporation

NPI #1598080897 in Portage, Michigan

Provider Information

NPI Number: 1598080897
Entity Type: Organization
Organization Name: Cole Vision Corporation
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 30, 2010
Last Updated: May 10, 2010

Practice Location

Address: 6780 S WESTNEDGE AVENUE
Address 2: CROSSROADS MALL
City: Portage
State: Michigan
ZIP Code: 49024-3589
Phone: (269) 327-4150

Authorized Official

Name: WENDY UHLS
Title: MEDICARE ADMINISTRATOR
Phone: (513) 765-3534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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