Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
PEARLE VISION #C6625
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
8907 HOWELL AVE, OAK CREEK TARGET CTR STE #600, OAK CREEK, WI 53154-4460
(414) 764-2651
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(414) 764-2651
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
07/10/2013
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