Organization
LUXOTTICA RETAIL NORTH AMERICA
Active
Other names
Target 6756
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURMEISTER (SPECIALIST)
(513) 765-4128
Entity
Organization
Contact information
Practice address
460 S VANCE ST, LAKEWOOD, CO 80226-3305
(303) 209-5133
Mailing address
4000 LUXOTTICA PL, ATTN: MEDICARE DEPT, MASON, OH 45040
(513) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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