Provider Demographics
NPI:1316196504
Name:COLES, EMILY ANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANNE
Last Name:COLES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:207 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1809
Mailing Address - Country:US
Mailing Address - Phone:231-796-5321
Mailing Address - Fax:231-796-2957
Practice Address - Street 1:207 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1809
Practice Address - Country:US
Practice Address - Phone:231-796-5321
Practice Address - Fax:231-796-2957
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004480152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist