Luxottica Retail North America INC
Eyewear Supplier (Equipment, not the service) in Bourbonnais, IL. Organization (NPI-2).
NPI number1710074943
StatusActive
Last updated in NPPESJun 6, 2013
Details
- NPI
- 1710074943
- Entity type
- Organization (NPI-2)
- Legal business name
- Luxottica Retail North America INC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Jun 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Pearle Vision #6315 (Doing Business As)
Practice location
1600 N Sr 50Northfield Square
Bourbonnais, IL 60914-9307
Phone 815-935-0404
Mailing address
4000 Luxottica PlAttn Medicare Dept
Mason, OH 45040-8114
Phone 815-935-0404
Authorized official
Terry Kroth
Specialist
5137653060
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