Luxottica Retail North America INC

NPI #1942366562 in Kelso, Washington

Provider Information

NPI Number: 1942366562
Entity Type: Organization
Organization Name: Luxottica Retail North America INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 28, 2006
Last Updated: Jan 6, 2010

Practice Location

Address: 341 THREE RIVERS DR
Address 2: THREE RIVERS MALL
City: Kelso
State: Washington
ZIP Code: 98626-3100
Phone: (360) 577-5780

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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