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LUXOTTICA RETAIL NORTH AMERICA INC NPI 1407912637


NPI Information

NPI: 1407912637
Provider Name: LUXOTTICA RETAIL NORTH AMERICA INC

Doing Business As: SEARS OPTICAL #1309

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
12055 PINES BLVD
PEMBROKE LAKES MALL
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 438-3139
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LUXOTTICA RETAIL NORTH AMERICA INC is an eyewear supplier in Pembroke Pines, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LUXOTTICA RETAIL NORTH AMERICA INC NPI is 1407912637. The provider is registered as an organization entity type.
The provider Is Doing Business As Sears Optical #1309.

The provider's business location address is:

12055 PINES BLVD
PEMBROKE LAKES MALL
PEMBROKE PINES, FL
ZIP 33026-112
Phone: (954) 438-3139

The provider's authorized official is Terry Kroth .
The authorized official title is Specialist and has the following contact phone number (513) 765-3060.

The enumeration date for this NPI number is 12/30/2006 and was last updated on 7/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10180151398MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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