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NPI Code Detail

MEDICARE: LUXOTTICA OF AMERICA INC.

MEDICARE: LUXOTTICA OF AMERICA INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1174909782
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUXOTTICA OF AMERICA INC.
Provider Business Mailing Address
First Line : 4000 LUXOTTICA PL
Second Line : ATTN: MEDICARE DEPT
City : MASON
State : OH
Zip : 45040
Country : US
Telephone Number : 513-765-6000
Fax Number :
Provider Business Practice Location Address
First Line : 11290 W BROAD ST
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-5815
Country : US
Telephone Number : 804-588-3621
Fax Number :
Authorized Official
Title or Position : CFO, NORTH AMERICA
Name : EMILIA FLAMINI
Credential :
Telephone Number : 513-765-6623
Provider Enumeration Date : 08/05/2015
Last Update Date : 04/11/2019

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