Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
SEARS OPTICAL #C0613
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
3128 PLAINFIELD RD, LOUIS JOLIET MALL, JOLIET, IL 60435-1194
(815) 439-3064
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(815) 439-3064
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/16/2013
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