Organization · NPI-2
Cole Vision Corporation
Eyewear Supplier (Equipment, not the service) · Indianapolis, IN
NPI number1154488963
StatusActive
Last updated in NPPESApr 3, 2008
Details
- NPI
- 1154488963
- Entity type
- Organization (NPI-2)
- Legal business name
- Cole Vision Corporation
- Organization subpart
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Apr 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Sears Optical #c0319 (Doing Business As)
Practice location
3919 Lafayette RdLafayette Sq #400
Indianapolis, IN 46254-2531
Phone 317-328-6455
Mailing address
3919 Lafayette RdLafayette Sq #400
Indianapolis, IN 46254-2531
Phone 317-328-6455
Authorized official
Wendy Uhls
Medicare Supervisor
5137653534
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