Luxottica Retail North America INC

NPI #1033200753 in Kent, Washington

Provider Information

NPI Number: 1033200753
Entity Type: Organization
Organization Name: Luxottica Retail North America INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 27, 2006
Last Updated: Dec 4, 2009

Practice Location

Address: 26019 104TH AVE SE
Address 2: CANYON RIDGE PLAZA STE #101
City: Kent
State: Washington
ZIP Code: 98030-7031
Phone: (253) 520-0390

Authorized Official

Name: MS. WENDY UHLS
Title: MEDICARE ADMINISTRATOR
Phone: (513) 765-3534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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