Organization
LUXOTTICA RETAIL NORTH AMERICA, INC
Active
Other names
TARGET OPTICAL #9696
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M. KINSEY (VP, CONTROLLER FINANCE)
(513) 765-6331
Entity
Organization
Contact information
Practice address
1701 N GAFFEY ST, SAN PEDRO, CA 90731-1274
(310) 507-6293
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(513) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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