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Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) in Valdosta, GA. Organization (NPI-2).

NPI number1952499220
StatusActive
Last updated in NPPESJul 12, 2013

Details

NPI
1952499220
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Oct 11, 2006
Last updated
Jul 12, 2013

Taxonomy and licenses

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

Other names

  • Sears Optical #c0282 (Doing Business As)

Practice location

1709 Bay Tree Rd
Valdosta Mall
Valdosta, GA 31602-3507

Phone 229-293-9800

Mailing address

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

Phone 229-293-9800

Authorized official

Terry Kroth
Specialist
5137653060

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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