Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #4616
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURMEISTER (SPECIALIST)
(513) 765-4128
Entity
Organization
Contact information
Practice address
2201 COBB PKWY SE, SMYRNA, GA 30080-7629
(770) 250-7510
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
07/06/2016
Last updated
07/06/2016
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