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NPI Code Detail

MEDICARE: DR. DON THOMAS COLE O.D.

MEDICARE:  DR. DON THOMAS COLE  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5488PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3410001408OTHERPAMEDICARE - RAILROAD
874811OTHERPAHIGHMARK MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10017525OTHERPADORAL
250721OTHERPADAVIS
41437219169OTHERPANPI
55488OTHERPAVISION BENEFITS OF AMERIC
6000074811OTHERPAKEYSTONE BLUE
7251400459OTHERPAAETNA
9CO74811OTHERPABLUE SHIELD
10000557038002OTHERPAPROMISE

General Provider Information

NPI Number : 1437219169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DON THOMAS COLE O.D.
Provider Business Mailing Address
First Line : 4522 BROADWAY BLVD
Second Line : HAYMAKER VILLAGE
City : MONROEVILLE
State : PA
Zip : 15146-4745
Country : US
Telephone Number : 412-373-8670
Fax Number : 412-373-5053
Provider Business Practice Location Address
First Line : 4522 BROADWAY BLVD
Second Line : HAYMAKER VILLAGE
City : MONROEVILLE
State : PA
Zip : 15146-4745
Country : US
Telephone Number : 412-373-8670
Fax Number : 412-373-5053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 02/14/2012

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Directions to “ DR. DON THOMAS COLE O.D.” Practice Location

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