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Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) in Lafayette, IN. Organization (NPI-2).

NPI number1497846232
StatusActive
Last updated in NPPESJul 16, 2013

Details

NPI
1497846232
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Sep 27, 2006
Last updated
Jul 16, 2013

Taxonomy and licenses

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

Other names

  • Sears Optical #c0505 (Doing Business As)

Practice location

2415 Sagamore Pkwy
Tippecanoe Mall
Lafayette, IN 47905-5124

Phone 765-449-5995

Mailing address

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

Phone 765-449-5995

Authorized official

Terry Kroth
Specialist
5137653060

Is something wrong?

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