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Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) in Wheat Ridge, CO. Organization (NPI-2).

NPI number1124171996
StatusActive
Last updated in NPPESJun 16, 2013

Details

NPI
1124171996
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Jan 18, 2007
Last updated
Jun 16, 2013

Taxonomy and licenses

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

Other names

  • Target Optical #2134 (Doing Business As)

Practice location

5071 Kipling St
Wheat Ridge, CO 80033-2251

Phone 303-421-0433

Mailing address

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

Phone 303-421-0433

Authorized official

Terry Kroth
Specialist
5137653060

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