Healthcare Provider Details

I. General information

NPI: 1639627474
Provider Name (Legal Business Name): LUXOTTICA OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14046 PROMENADE COMMONS ST D-3
GAINESVILLE VA
20155-4072
US

IV. Provider business mailing address

4000 LUXOTTICA PL ATTN MEDICARE DEPT
MASON OH
45040
US

V. Phone/Fax

Practice location:
  • Phone: 571-248-6482
  • Fax:
Mailing address:
  • Phone: 513-765-6000
  • 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