Provider Demographics
NPI:1134279631
Name:COLE VISION CORPORATION
Entity Type:Organization
Organization Name:COLE VISION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICARE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:UHLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-3534
Mailing Address - Street 1:6801 MIDDLESEX MALL
Mailing Address - Street 2:
Mailing Address - City:S PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1121
Mailing Address - Country:US
Mailing Address - Phone:908-490-1560
Mailing Address - Fax:908-490-1562
Practice Address - Street 1:6801 MIDDLESEX MALL
Practice Address - Street 2:
Practice Address - City:S PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1121
Practice Address - Country:US
Practice Address - Phone:908-490-1560
Practice Address - Fax:908-490-1562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0507951729Medicare ID - Type Unspecified