# LUXOTTICA RETAIL NORTH AMERICA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TARGET OPTICAL \#4663
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538616123
- **Authorized official:** JENNIFER BURMEISTER (PROVIDER RELATIONS)
- **Authorized official phone:** (513) 765-4128

## Contact information

- **Practice address:** 1050 FORDING ISLAND RD, BLUFFTON, SC 29910-8664
- **Practice address phone:** (843) 815-3767
- **Mailing address:** 4000 LUXOTTICA PL ATTN MEDICARE DEPT, MASON, OH 45040
- **Mailing address phone:** (513) 765-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 08/17/2021