Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #C4376
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
2625 PEACHTREE PKWY, SUWANEE, GA 30024-1048
(678) 965-5792
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(678) 965-5792
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
06/16/2013
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