Luxottica Retail North America INC

NPI #1265529481 in Moline, Illinois

Provider Information

NPI Number
1265529481
Entity Type
Organization
Organization Name
Luxottica Retail North America INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 9, 2006
Last Updated
Jan 18, 2010

Practice Location

Address
4500 16TH ST
Address 2
SOUTHPARK MALL STE #635
City
Moline
ZIP Code
61265-7078
Phone
(309) 764-0017

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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