MEDICARE: LUXOTTICA RETAIL NORTH AMERICA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1477644540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXOTTICA RETAIL NORTH AMERICA INC

Provider Business Mailing Address
First Line	:	4000 LUXOTTICA PL
Second Line	:	ATTN MEDICARE DEPT
City	:	MASON
State	:	OH
Zip	:	45040-8114
Country	:	US
Telephone Number	:	574-271-6684
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 GRAPE RD US 23
Second Line	:	UNIVERSITY PARK MALL
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1007
Country	:	US
Telephone Number	:	574-271-6684
Fax Number	:

Authorized Official
Title or Position	:	SPECIALIST
Name	:	MR. TERRY KROTH
Credential	:
Telephone Number	:	513-765-3060

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/12/2013

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