Organization · NPI-2
Cole Vision Corporation
Eyewear Supplier (Equipment, not the service) · Florissant, MO
NPI number1750438990
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750438990
- Entity type
- Organization (NPI-2)
- Legal business name
- Cole Vision Corporation
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
100 Jamestown Mall ScJamestown Mall
Florissant, MO 63034
Phone 314-653-4654 · Fax 314-741-0406
Mailing address
100 Jamestown Mall ScJamestown Mall
Florissant, MO 63034
Phone 314-653-4654 · Fax 314-741-0406
Authorized official
Wendy Uhls
Medicare Supervisor
5137653534
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