Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
TARGET OPTICAL #C4407
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY KROTH (SPECIALIST)
(513) 765-3060
Entity
Organization
Contact information
Practice address
1447 E 7TH ST, MONTICELLO, MN 55362-4666
(763) 295-3130
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(763) 295-3130
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/19/2013
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