# LUXOTTICA RETAIL NORTH AMERICA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEARS OPTICAL \#C0048
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548326325
- **Authorized official:** MR. TERRY KROTH (SPECIALIST)
- **Authorized official phone:** (513) 765-3060

## Contact information

- **Practice address:** 2701 W DAVID MCIROD, MAGNOLIA MALL, FLORENCE, SC 29501-9501
- **Practice address phone:** (843) 676-9797
- **Mailing address:** 4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
- **Mailing address phone:** (843) 676-9797

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 06/16/2013