NPI 1487702981

Luxottica Retail North America INC

Organisation Eyewear Supplier Idaho Falls, ID

Practice location

Address: 2300 E17th St Grand Teton Mall, Idaho Falls, ID 83404-6504
Phone: (208) 525-8964
Mailing address: 4000 Luxottica Pl Attn Medicare Dept, Mason, OH 45040-8114

Authorised official

Name: Terry Kroth
Title: Specialist
Phone: (513) 765-3060

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1487702981
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 17 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.