Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #C4393
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
9670 PROMINENT POINT NE, COLORADO SPRINGS, CO 80920-0920
(719) 495-0856
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(719) 495-0856
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
06/16/2013
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