Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #2231
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
15880 SAN CARLOS BLVD, FORT MYERS, FL 33908-3379
(239) 985-1421
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(239) 985-1421
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
06/17/2013
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