Cole Vision Corporation

NPI #1700102514 in Forest Lake, Minnesota

Provider Information

NPI Number: 1700102514
Entity Type: Organization
Organization Name: Cole Vision Corporation
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 19, 2010
Last Updated: Apr 19, 2010

Practice Location

Address: 356 12TH ST SW
City: Forest Lake
State: Minnesota
ZIP Code: 55025-1749
Phone: (651) 464-1955

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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