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Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) in Ypsilanti, MI. Organization (NPI-2).

NPI number1114078516
StatusActive
Last updated in NPPESAug 2, 2009

Details

NPI
1114078516
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Jan 15, 2007
Last updated
Aug 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Target Optical #c4126 (Doing Business As)

Practice location

3749 Carpenter Rd
Ypsilanti, MI 48197-9809

Phone 734-975-4688

Mailing address

4000 Luxottica Pl
Attn Medicare Dept
Mason, OH 45040-8114

Phone 734-975-4688

Authorized official

Wendy Uhls
Medicare Administrator
5137653534

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