Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #4812
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M. KINSEY (VP, CONTROLLER FINANCE)
(513) 765-6331
Entity
Organization
Contact information
Practice address
4100 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7717
(702) 560-5914
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
06/27/2016
Last updated
11/10/2017
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