Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
PEARLE VISION #C6863
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
4201 COLDWATER RD, GLENBROOK MALL STE #N7A, FORT WAYNE, IN 46805-1113
(260) 483-9568
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(260) 483-9568
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
07/10/2013
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