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NPI Code Detail

MEDICARE: LUXOTTICA RETAIL NORTH AMERICA, INC

MEDICARE: LUXOTTICA RETAIL NORTH 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 : 1295225985
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUXOTTICA RETAIL NORTH AMERICA, INC
Provider Business Mailing Address
First Line : 4000 LUXOTTICA PL
Second Line : ATTN MEDICARE DEPARTMENT
City : MASON
State : OH
Zip : 45040
Country : US
Telephone Number : 151-376-5381
Fax Number :
Provider Business Practice Location Address
First Line : 3155 SILVER CREEK RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95121-1730
Country : US
Telephone Number : 408-620-3003
Fax Number :
Authorized Official
Title or Position : VP, CONTROLLER FINANCE
Name : SUSAN M. KINSEY
Credential :
Telephone Number : 513-765-6331
Provider Enumeration Date : 05/17/2018
Last Update Date : 08/17/2018

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Directions to “LUXOTTICA RETAIL NORTH AMERICA, INC ” Practice Location

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