Healthcare Provider Details

I. General information

NPI: 1821578907
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 BROADWAY PLZ
WALNUT CREEK CA
94596-5129
US

IV. Provider business mailing address

4000 LUXOTTICA PL ATTN MEDICARE DEPARTMENT
MASON OH
45040-8114
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-3591
  • Fax:
Mailing address:
  • Phone: 513-765-6623
  • 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: EMILIA FLAMINI
Title or Position: CFO, NORTH AMERICA
Credential:
Phone: 513-765-6623