# LUXOTTICA RETAIL NORTH AMERICA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEARS OPTICAL \#C1093
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851440812
- **Authorized official:** MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
- **Authorized official phone:** (513) 765-3534

## Contact information

- **Practice address:** 2390 CHESTNUT ST, PRINCE OF ORANGE MALL, ORANGEBURG, SC 29115-3201
- **Practice address phone:** (803) 516-9169
- **Mailing address:** 4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
- **Mailing address phone:** (803) 516-9169

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 10/12/2009