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LUXOTTICA RETAIL NORTH AMERICA INC NPI 1497823991


NPI Profile

NPI: 1497823991
Provider Name: LUXOTTICA RETAIL NORTH AMERICA INC

Doing Business As: TARGET OPTICAL #C4397

Classification:Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
16400 STATE RD 54
ODESSA, FL
ZIP 33556
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Phone: (813) 926-9905

LUXOTTICA RETAIL NORTH AMERICA INC is an eyewear supplier in Odessa, 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 1497823991. The provider is registered as an organization entity type.
The provider Is Doing Business As Target Optical #c4397.

The provider's business location address is:

16400 STATE RD 54
ODESSA, FL
ZIP 33556-556
Phone: (813) 926-9905

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 12/1/2006 and was last updated on 6/16/2013.


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
10180151453MEDICARE 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: 4/11/2021

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