Healthcare Provider Details

I. General information

NPI: 1003367061
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E CYPRESS AVE
BURBANK CA
91502-1149
US

IV. Provider business mailing address

4000 LUXOTTICA PL ATTN MEDICARE DEPT
MASON OH
45040
US

V. Phone/Fax

Practice location:
  • Phone: 818-557-1659
  • Fax:
Mailing address:
  • Phone: 513-765-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: SARA FRANCESCUTTO
Title or Position: CFO
Credential:
Phone: 513-765-2155