Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #C4459
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
5355 W LOOP 1604 N, SAN ANTONIO, TX 78253-7300
(210) 647-0116
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(210) 647-0116
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
01/20/2010
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