Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #C4122
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 227-3593
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(718) 227-3593
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
11/21/2011
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