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NPI Code Detail

MEDICARE: COLE VISION SERVICES INC

MEDICARE: COLE VISION SERVICES INC
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
1305S00000XPoint of Service

General Provider Information

NPI Number : 1790830552
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLE VISION SERVICES INC
Provider Business Mailing Address
First Line : 4000 LUXOTTICA PL
Second Line :
City : MASON
State : OH
Zip : 45040-8114
Country : US
Telephone Number : 513-765-6000
Fax Number :
Provider Business Practice Location Address
First Line : 4000 LUXOTTICA PL
Second Line :
City : MASON
State : OH
Zip : 45040-8114
Country : US
Telephone Number : 513-765-6000
Fax Number :
Authorized Official
Title or Position : SVP GENERAL MANAGER
Name : LIZ DIGIANDOMENICO
Credential :
Telephone Number : 513-765-6015
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

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Directions to “COLE VISION SERVICES INC ” Practice Location

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