Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #4240
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
1800 EMPIRE AVE, BURBANK, CA 91504-3403
(818) 238-0245
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT., MASON, OH 45040-8114
(818) 238-0245
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
05/21/2013
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