Healthcare Provider Details

I. General information

NPI: 1710062310
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date: 07/15/2013
Reactivation Date: 08/02/2013

III. Provider practice location address

436 S RANDALL RD
ALGONQUIN IL
60102-9723
US

IV. Provider business mailing address

4000 LUXOTTICA PL ATTN: MEDICARE DEPT
MASON OH
45040-8114
US

V. Phone/Fax

Practice location:
  • Phone: 847-658-4000
  • Fax: 647-658-5643
Mailing address:
  • Phone: 513-765-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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