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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1356863930
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 DEPT
City	:	MASON
State	:	OH
Zip	:	45040
Country	:	US
Telephone Number	:	513-765-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7505 LAGUNA BLVD
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-5061
Country	:	US
Telephone Number	:	916-683-5364
Fax Number	:

Authorized Official
Title or Position	:	VP, CONTROLLER FINANCE
Name	:	SUE KINSEY
Credential	:
Telephone Number	:	513-765-6331

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	07/14/2017

Similar Medicare Providers

1881616571 — GARFIELD BEACH CVS LLC
Practice Location Address:

7505 LAGUNA BLVD
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-585-7658

1306131271 — DOUG LAM
Practice Location Address:

7505 LAGUNA BLVD , T1025
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-683-2936

1891082855 — KIMBERLY E UYEDA PHARM.D.
Practice Location Address:

7505 LAGUNA BLVD , T-1025
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-683-2936

1326540113 — EYE-MINDED OPTOMETRY
Practice Location Address:

7505 LAGUNA BLVD
ELK GROVE, CA
95758-5061

Practice Phone: 916-478-7226
Practice Fax:

1255836599 — VIVIAN FERNANDEZ DDS.INC
Practice Location Address:

9320 ELK GROVE BLVD STE 170
ELK GROVE, CA
95624-5061

Practice Phone: 916-714-5422
Practice Fax: 916-714-5429

1104511625 — AGUILAR RIOS DENTAL CORPORATION
Practice Location Address:

9320 ELK GROVE BLVD STE 170
ELK GROVE, CA
95624-5061

Practice Phone: 916-714-5422
Practice Fax:

Directions to “LUXOTTICA RETAIL NORTH 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.