NPI 1669703831

Cole Vision Corporation

Organisation Eyewear Supplier Idaho Falls, ID

Practice location

Address: 2300 E 17th St Grand Teton Mall, Idaho Falls, ID 83404-6504
Phone: (208) 525-8964
Mailing address: 4000 Luxottica Pl Attn Medicare Dept, Mason, OH 45040-8114

Authorised official

Name: Wendy Uhls
Title: Medicare Administrator
Phone: (513) 765-3534

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1669703831
Entity type: Organization
NPI issued: 27 Jan 2010
Record last updated: 27 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.