=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790982452
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LUXOTTICA OF AMERICA INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2007
-----------------------------------------------------
Last Update Date | 03/02/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7474 TOWNE CENTER PKWY STE 107
-----------------------------------------------------
City | PAPILLION
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68046-4805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-592-3239
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4000 LUXOTTICA PL ATTN MEDICARE DEPT
-----------------------------------------------------
City | MASON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45040-8114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-592-3239
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO, NORTH AMERICA
-----------------------------------------------------
Name | EMILIA FLAMINI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-765-6623
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332H00000X
-----------------------------------------------------
Taxonomy Name | Eyewear Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------