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	:	1508919267
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	:	678-965-5792
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 PEACHTREE PKWY
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-1048
Country	:	US
Telephone Number	:	678-965-5792
Fax Number	:

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	06/16/2013

Similar Medicare Providers

1932121720 — GEORGIA CVS PHARMACY LLC
Practice Location Address:

2625 PEACHTREE PKWY
SUWANEE, GA
30024-1048

Practice Phone: 678-965-5806
Practice Fax: 678-208-3198

1013927003 — DR. SUJATHA VIVEK MD
Practice Location Address:

2685 PEACHTREE PKWY STE 300
SUWANEE, GA
30024-1048

Practice Phone: 770-771-5270
Practice Fax: 770-771-5279

1619987682 — NORTH ATLANTA VASCULAR CLINIC, PC
Practice Location Address:

2685 PEACHTREE PKWY STE 320
SUWANEE, GA
30024-1048

Practice Phone: 770-771-5269
Practice Fax: 770-771-5269

1114937125 — NORTH ATLANTA WOMEN'S CARE, PC
Practice Location Address:

2685 PEACHTREE PKWY STE 300
SUWANEE, GA
30024-1048

Practice Phone: 770-771-5270
Practice Fax: 770-771-5279

1831109891 — UTHAN VIVEK MD
Practice Location Address:

2685 PEACHTREE PKWY STE 320
SUWANEE, GA
30024-1048

Practice Phone: 770-771-5260
Practice Fax: 770-771-5269

1902005762 — RAVI DAVID YARID D.O.
Practice Location Address:

2637 PEACHTREE PKWY
SUWANEE, GA
30024-1048

Practice Phone: 314-898-6188
Practice Fax:

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.