Luxottica Retail North America INC

NPI #1487702981 in Idaho Falls, Idaho

Provider Information

NPI Number
1487702981
Entity Type
Organization
Organization Name
Luxottica Retail North America INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 8, 2007
Last Updated
Jul 17, 2013

Practice Location

Address
2300 E17TH ST
Address 2
GRAND TETON MALL
State
Idaho
ZIP Code
83404-6504
Phone
(208) 525-8964

Authorized Official

Name
MR. TERRY KROTH
Title
SPECIALIST
Phone
(513) 765-3060

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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