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	:	1356405542
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	:	859-283-1081
Fax Number	:

Provider Business Practice Location Address
First Line	:	7627 MALL RD
Second Line	:	FLORENCE PLAZA
City	:	FLORENCE
State	:	KY
Zip	:	41042-1403
Country	:	US
Telephone Number	:	859-283-1081
Fax Number	:

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/10/2013

Similar Medicare Providers

1063871721 — JENNIFER LEE KIDWELL PHARMD
Practice Location Address:

7685 MALL RD
FLORENCE, KY
41042-1403

Practice Phone: 859-795-5820
Practice Fax: 859-795-5821

1114951936 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

7685 MALL RD
FLORENCE, KY
41042-1403

Practice Phone: 859-795-5821
Practice Fax: 859-525-2348

1700013844 — SAMANTHA HORNBERGER
Practice Location Address:

7627 MALL RD
FLORENCE, KY
41042-1403

Practice Phone: 859-283-1081
Practice Fax:

1235454687 — PEARLE VISION INC
Practice Location Address:

7627 MALL RD , FLORENCE PLAZA
FLORENCE, KY
41042-1403

Practice Phone: 859-283-1081
Practice Fax:

1194133454 — DANA BURNS PHARMD
Practice Location Address:

7685 MALL RD
FLORENCE, KY
41042-1403

Practice Phone: 859-795-5820
Practice Fax:

1225420631 — LISA PROFFITT PHARM.D
Practice Location Address:

7685 MALL RD
FLORENCE, KY
41042-1403

Practice Phone: 859-795-5820
Practice Fax: 859-795-5821

Directions to “LUXOTTICA RETAIL NORTH AMERICA INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.