Healthcare Provider Details
I. General information
NPI: 1740372242
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1201 W 136TH ST
KANSAS CITY MO
64145
US
IV. Provider business mailing address
4000 LUXOTTICA PL ATTN MEDICARE DEPT
MASON OH
45040-8114
US
V. Phone/Fax
- Phone: 816-412-0111
- Fax:
- Phone: 816-412-0111
- 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: CFO
Credential:
Phone: 513-765-2155