Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
SEARS OPTICAL AT KMART #C1276
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
300 S HIGHLAND SPRINGS AVE, BANNING, CA 92220-6504
(951) 845-3299
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(951) 845-3299
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
02/25/2010
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