Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
PEARLE VISION #C6861
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
4024 ELKHARTE RD, GOSHEN MARKET CTR STE #23, GOSHEN, IN 46526-5807
(574) 875-5042
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(574) 875-5042
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
02/09/2010
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