NPI Code Details Logo

NPI 1588732531

NPI 1588732531 : LUXOTTICA OF AMERICA INC : FRIDLEY, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588732531
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LUXOTTICA OF AMERICA INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/30/2006
-----------------------------------------------------
    Last Update Date     |    07/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    755 53RD AVE NE 
-----------------------------------------------------
    City                 |    FRIDLEY
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55421-1240
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    763-571-5452
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4000 LUXOTTICA PL ATTN MEDICARE DEPT
-----------------------------------------------------
    City                 |    MASON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45040-8114
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    763-571-5452
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     SARA  FRANCESCUTTO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    513-765-2155
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332H00000X
-----------------------------------------------------
    Taxonomy Name        |    Eyewear Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.