# LUXOTTICA RETAIL NORTH AMERICA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Target Optical \#4816
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801249313
- **Authorized official:** JENNIFER BURMEISTER (SPECIALIST)
- **Authorized official phone:** (513) 765-4128

## Contact information

- **Practice address:** 3065 ATLANTA HWY, ATHENS, GA 30606-3334
- **Practice address phone:** (706) 395-0400
- **Mailing address:** 4000 LUXOTTICA PL, ATTN: MEDICARE DEPT, MASON, OH 45040-8114
- **Mailing address phone:** (513) 765-6000

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016