Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #4311
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
14500 W COLFAX AVE, LAKEWOOD, CO 80401-3203
(303) 273-9953
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(303) 273-9953
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
09/18/2019
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