Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
SEARS OPTICAL #C0381
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
3000 W DEYOUNG, ILLINOIS CENTRE MALL STE #500, MARION, IL 62959-5553
(618) 993-4844
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(618) 993-4844
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
07/16/2013
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