Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
Target Optical #4687
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURMEISTER (PROVIDER RELATIONS)
(513) 765-4128
Entity
Organization
Contact information
Practice address
1440 US HIGHWAY 1 S, SAINT AUGUSTINE, FL 32084-4211
(904) 495-0627
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040
(513) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/07/2016
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