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	:	1780740431
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	:	508-994-8092
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N DARTEMOUTH
Second Line	:	NORTH DARTMOUTH MALL
City	:	N DARTMOUTH
State	:	MA
Zip	:	02747-4204
Country	:	US
Telephone Number	:	508-994-8092
Fax Number	:

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	07/10/2013

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1447336144 — DR. EDUARDO OLEGARIO D.M.D.
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax:

1366528978 — DR. ROMAN C MANGAPIT JR. D.M.D.
Practice Location Address:

172 N DARTMOUTH MALL
N DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax:

1811073521 — DR. CHONG SONG LEE D.M.D.,M.M.SC.
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax:

1720156540 — R.MANGAPIT JR&E. OLEGARIO DMDPC
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax: 508-997-6673

1710540414 — NEGIN MOALLEM
Practice Location Address:

8614 E DARTMOUTH AVE
DENVER, CO
80231-4204

Practice Phone: 303-887-1183
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.