MEDICARE: ESSILOR LABORATORIES 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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1346448479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSILOR LABORATORIES OF AMERICA, INC

Provider Business Mailing Address
First Line	:	13515 N STEMMONS FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-5765
Country	:	US
Telephone Number	:	800-843-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2210A TECHNICAL PKWY
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4930
Country	:	US
Telephone Number	:	800-969-9736
Fax Number	:

Authorized Official
Title or Position	:	SR. VICE PRESIDENT, NATIONAL LABS
Name	:	REAL GOULET
Credential	:
Telephone Number	:	214-496-4105

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	08/03/2007

Similar Medicare Providers

1578596953 — DIALYSIS CLINIC INC.
Practice Location Address:

2270 TECHNICAL PKWY
CHARLESTON, SC
29406-4930

Practice Phone: 843-723-7227
Practice Fax: 843-863-9590

1881802056 — MRS. MANETTE CONE KAUFMAN MSP, CCC-SLP
Practice Location Address:

4930 LAMBS RD
NORTH CHARLESTON, SC
29418-3525

Practice Phone: 843-425-8700
Practice Fax:

1407368871 — CHRISTOPHER BOWERS PA-C
Practice Location Address:

171 ASHLEY AVE
CHARLESTON, SC
29425-4930

Practice Phone: 843-792-1414
Practice Fax:

1053287185 — MISS AMANDA BETHANY GRAY
Practice Location Address:

4930 POLK ST APT 86
NORTH HIGHLANDS, CA
95660-5219

Practice Phone: 916-661-0911
Practice Fax:

1891957114 — MRS. REBECCA L. DEARWORTH M.S., CCC-SLP
Practice Location Address:

8009 COLERIDGE DR
NORTH LITTLE ROCK, AR
72116-4930

Practice Phone: 501-835-7181
Practice Fax:

1174932040 — LINDA SELLERS
Practice Location Address:

4930 ATHENS BAY PL
NORTH LAS VEGAS, NV
89031-0970

Practice Phone: 702-539-7911
Practice Fax:

Directions to “ESSILOR LABORATORIES OF AMERICA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.