Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #C4285
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1525 MARKET PLACE BLVD, CUMMING, GA 30041-7935
(678) 513-3739
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(678) 513-3739
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
10/21/2009
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