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General NPI Number Information
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NPI Number | 1689723611
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Entity Type | Organization
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Legal Business Name | LUXOTTICA OF AMERICA INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 771 VILLAGE BLVD STE 213
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1934
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Country | US
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Telephone | 561-689-0766
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Fax | 855-881-9434
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Provider Business Mailing Address
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Address Line | 4000 LUXOTTICA PL ATTN: MEDICARE DEPT
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City | MASON
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State | OH
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Zip | 45040-8114
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Country | US
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Telephone | 513-765-2155
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SARA FRANCESCUTTO
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Credential |
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Telephone | 513-765-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | DO 5489
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License Number State | FL
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