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Organization

LUXOTTICA RETAIL NORTH AMERICA INC

Active
Other names
SEARS OPTICAL #C1333
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization

Contact information

Practice address
4837 CAL SAG RD, RIVERCREST S/C, CRESTWOOD, IL 60445-4415
(708) 489-2020
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(708) 489-2020

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/09/2006
Last updated
02/08/2010
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