Provider Demographics
NPI:1790830552
Name:COLE VISION SERVICES INC
Entity Type:Organization
Organization Name:COLE VISION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGIANDOMENICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-6015
Mailing Address - Street 1:4000 LUXOTTICA PL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8114
Mailing Address - Country:US
Mailing Address - Phone:513-765-6000
Mailing Address - Fax:
Practice Address - Street 1:4000 LUXOTTICA PL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8114
Practice Address - Country:US
Practice Address - Phone:513-765-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service