Healthcare Provider Details

I. General information

NPI: 1871629956
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date: 07/11/2013
Reactivation Date: 08/02/2013

III. Provider practice location address

155 FEDERAL ST SUITE 150
BOSTON MA
02110
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 617-261-1813
  • Fax:
Mailing address:
  • Phone: 513-765-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number5909
License Number StateMA

VIII. Authorized Official

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