Provider Demographics
NPI:1437219169
Name:COLE, DON THOMAS (OD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:THOMAS
Last Name:COLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:4522 BROADWAY BLVD
Mailing Address - Street 2:HAYMAKER VILLAGE
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4745
Mailing Address - Country:US
Mailing Address - Phone:412-373-8670
Mailing Address - Fax:412-373-5053
Practice Address - Street 1:4522 BROADWAY BLVD
Practice Address - Street 2:HAYMAKER VILLAGE
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4745
Practice Address - Country:US
Practice Address - Phone:412-373-8670
Practice Address - Fax:412-373-5053
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA5488152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017525OtherDORAL
PA50721OtherDAVIS
PA410001408OtherMEDICARE - RAILROAD
PA1437219169OtherNPI
PA5488OtherVISION BENEFITS OF AMERIC
PA000074811OtherKEYSTONE BLUE
PA251400459OtherAETNA
PA74811OtherHIGHMARK MEDICARE
PACO74811OtherBLUE SHIELD
PA000557038002OtherPROMISE
PA000557038002OtherPROMISE
PA50721OtherDAVIS
PA74811OtherHIGHMARK MEDICARE