Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
PEARLE VISION #C6703
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
3001 WHITE BEAR AVE, MAPLEWOOD MALL STE #1050, MAPLEWOOD, MN 55109-1215
(651) 770-3923
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(651) 770-3923
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
07/10/2013
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