MEDICARE: ESSILOR LABORATORIES 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	:	1851581011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSILOR LABORATORIES OF AMERICA, INC

Provider Business Mailing Address
First Line	:	13515 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-5765
Country	:	US
Telephone Number	:	800-843-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3216
Country	:	US
Telephone Number	:	800-366-8116
Fax Number	:

Authorized Official
Title or Position	:	SR. VICE PRESIDENT, NATIONAL LABS
Name	:	REAL GOULET
Credential	:
Telephone Number	:	214-496-4105

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	08/03/2007

Similar Medicare Providers

1053506410 — MRS. ILANA SABBAGH MS OTR/L
Practice Location Address:

363 W WALNUT ST
LONG BEACH, NY
11561-3216

Practice Phone: 305-890-4626
Practice Fax:

1699758565 — VENTANA HEALTH AND MEDICAL CENTER
Practice Location Address:

901 OAK PARK BLVD , SUITE 101
PISMO BEACH, CA
93449-3216

Practice Phone: 805-489-2205
Practice Fax: 805-489-2206

1710950050 — DAVID P PAGE MD
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-491-3688
Practice Fax: 904-390-7450

1225042120 — TRACI R. FERNANDES, DDS, INC
Practice Location Address:

901 OAK PARK BLVD , SUITE 203
PISMO BEACH, CA
93449-3216

Practice Phone: 805-489-8232
Practice Fax: 805-489-8234

1306948179 — LORI YOUNG TILTON PA-C
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-491-3688
Practice Fax: 904-390-7450

1407923022 — LIFE LINE HOME CARE INC
Practice Location Address:

220 S 14TH ST
FERNANDINA BEACH, FL
32034-3216

Practice Phone: 904-321-0242
Practice Fax: 904-321-0930

Directions to “ESSILOR LABORATORIES OF AMERICA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.