Healthcare Provider Details
I. General information
NPI: 1255400982
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2006
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2701 SW COLLEGE RD STE 105
OCALA FL
34474
US
IV. Provider business mailing address
4000 LUXOTTICA PL ATTN MEDICARE DEPT
MASON OH
45040-8114
US
V. Phone/Fax
- Phone: 352-237-3788
- Fax:
- Phone: 352-237-3788
- 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:
EMILIA
FLAMINI
Title or Position: CFO NORTH AMERICA
Credential:
Phone: 513-765-6623