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Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #2059
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
5220 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2739
(770) 943-2550
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(770) 943-2550
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
05/22/2013
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