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	:	1568972628
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	:	45040-8114
Country	:	US
Telephone Number	:	513-765-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	30602 SANTA MARGARITA PKWY
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-2814
Country	:	US
Telephone Number	:	949-207-5206
Fax Number	:

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

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	10/03/2017

Similar Medicare Providers

1548282171 — GARFIELD BEACH CVS LLC
Practice Location Address:

30602 SANTA MARGARITA PKWY
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-459-0973
Practice Fax: 949-207-5203

1649410317 — ANDREA HUYN O.D.
Practice Location Address:

30602 SANTA MARGARITA PKWY
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-459-1670
Practice Fax: 949-459-1830

1063708329 — DINA LISWI PHARMD
Practice Location Address:

30602 SANTA MARGARITA PKWY , T-0914
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-459-0973
Practice Fax: 949-459-0973

1306133368 — DR. MARIELLE REYESBAJE PHARM.D.
Practice Location Address:

30602 SANTA MARGARITA PKWY , T-0914
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-459-0973
Practice Fax:

1396013710 — BRYAN NGUYEN PHARM.D.
Practice Location Address:

30602 SANTA MARGARITA PKWY
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-459-0973
Practice Fax:

1285142166 — ANDREA C. HUYN, OD, INC
Practice Location Address:

30602 SANTA MARGARITA PKWY
RANCHO SANTA MARGARITA, CA
92688-2814

Practice Phone: 949-207-5206
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.