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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 : 1629705058
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 : 45040-8114
Country : US
Telephone Number : 513-765-6000
Fax Number :
Provider Business Practice Location Address
First Line : 12275 SAINT CHARLES ROCK RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2502
Country : US
Telephone Number : 314-817-3501
Fax Number :
Authorized Official
Title or Position : CFO
Name : EMILIA FLAMINI
Credential :
Telephone Number : 513-765-6623
Provider Enumeration Date : 08/05/2022
Last Update Date : 08/05/2022

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