Organization
LUXOTTICA RETAIL NORTH AMERICA INC
Active
Other names
SEARS OPTICAL #C0764
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY UHLS (MEDICARE ADMINISTRATOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
1400 NW GARDEN VLY, ROSEBURG VALLEY MALL, ROSEBURG, OR 97470-1766
(541) 440-3816
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(541) 440-3816
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
01/06/2010
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