Organization
LUXOTTICA RETAIL NORTH AMERICA INC.
Active
Other names
Target Optical #9661
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SNOW (PAYER RELATIONS)
(513) 765-3818
Entity
Organization
Contact information
Practice address
4390 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6068
(410) 203-1191
Mailing address
4000 LUXOTTICA PLACE, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(513) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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