Organization · NPI-2

Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1497811756
StatusActive
Last updated in NPPESJun 13, 2013

Details

NPI
1497811756
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Dec 29, 2006
Last updated
Jun 13, 2013

Taxonomy and licenses

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

Other names

  • Sears Optical #0149 (Doing Business As)

Practice location

5717 Johnston St
Acadiana Mall
Lafayette, LA 70503-0503

Phone 337-988-8239

Mailing address

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

Phone 337-988-8239

Authorized official

Terry Kroth
Specialist
5137653060

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