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NPI Code Detail

MEDICARE: COLE VISION CORPORATION

MEDICARE: COLE VISION CORPORATION
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1578892709
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLE VISION CORPORATION
Provider Business Mailing Address
First Line : 4000 LUXOTTICA PL
Second Line : ATTN MEDICARE DEPT
City : MASON
State : OH
Zip : 45040-8114
Country : US
Telephone Number : 860-561-0303
Fax Number :
Provider Business Practice Location Address
First Line : 1445 NEW BRITAIN AVE
Second Line : CORBINS CORNER
City : WEST HARTFORD
State : CT
Zip : 06110-1659
Country : US
Telephone Number : 860-561-0303
Fax Number :
Authorized Official
Title or Position : MEDICARE ADMINISTRATOR
Name : WENDY UHLS
Credential :
Telephone Number : 513-765-3534
Provider Enumeration Date : 12/17/2009
Last Update Date : 12/17/2009

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Directions to “COLE VISION CORPORATION ” Practice Location

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