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Luxottica Retail North America INC

Eyewear Supplier (Equipment, not the service) in Milwaukee, WI. Organization (NPI-2).

NPI number1972669331
StatusActive
Last updated in NPPESJul 12, 2013

Details

NPI
1972669331
Entity type
Organization (NPI-2)
Legal business name
Luxottica Retail North America INC
Organization subpart
No
Enumeration date
Dec 29, 2006
Last updated
Jul 12, 2013

Taxonomy and licenses

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

Other names

  • Sears Optical #1220 (Doing Business As)

Practice location

5900 N Porte Washington Rd
Bayshore Mall
Milwaukee, WI 53217-4503

Phone 414-961-5140

Mailing address

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

Phone 414-961-5140

Authorized official

Terry Kroth
Specialist
5137653060

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