Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #4806
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURMEISTER (SPECIALIST)
(513) 765-4128
Entity
Organization
Contact information
Practice address
990 AVENIDA VISTA HERMOSA, SAN CLEMENTE, CA 92673-6360
(949) 456-8397
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
06/15/2016
Last updated
06/15/2016
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