Healthcare Provider Details
I. General information
NPI: 1356830426
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2018
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
40780 WINCHESTER RD
TEMECULA CA
92591
US
IV. Provider business mailing address
4000 LUXOTTICA PL ATTN MEDICARE DEPARTMENT
MASON OH
45040
US
V. Phone/Fax
- Phone: 951-296-2955
- Fax:
- Phone: 151-376-5381
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
FRANCESCUTTO
Title or Position: VP, CFO
Credential:
Phone: 513-765-2155