# LUXOTTICA RETAIL NORTH AMERICA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEARLE VISION \#C6618
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548382823
- **Authorized official:** MR. TERRY KROTH (SPECIALIST)
- **Authorized official phone:** (513) 765-3060

## Contact information

- **Practice address:** 155 DORSET ST, UNIVERSITY MALL STE \#M2, SOUTH BURLINGTON, VT 05403-6346
- **Practice address phone:** (802) 658-2101
- **Mailing address:** 4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
- **Mailing address phone:** (802) 658-2101

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 07/10/2013