MEDICARE: LUXOTTICA OF AMERICA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1710667316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXOTTICA OF AMERICA INC

Provider Business Mailing Address
First Line	:	4000 LUXOTTICA PL
Second Line	:	ATTN MEDICARE DEPT
City	:	MASON
State	:	OH
Zip	:	45040
Country	:	US
Telephone Number	:	513-765-2155
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 LAS VEGAS BLVD S STE 1070
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-0728
Country	:	US
Telephone Number	:	702-366-7080
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SARA FRANCESCUTTO
Credential	:
Telephone Number	:	513-765-2155

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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Directions to “LUXOTTICA OF AMERICA INC ” Practice Location

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