Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #C4092
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
650 BROWN RD, AUBURN HILLS, MI 48326-1307
(248) 393-8117
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(248) 393-8117
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
08/03/2009
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