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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 : 1659423275
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 : 45040-8144
Country : US
Telephone Number : 920-499-5873
Fax Number :
Provider Business Practice Location Address
First Line : 1001 CORMIER RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54304-4404
Country : US
Telephone Number : 920-499-5873
Fax Number :
Authorized Official
Title or Position : CFO, NORTH AMERICA
Name : EMILIA FLAMINI
Credential :
Telephone Number : 513-765-6623
Provider Enumeration Date : 01/16/2007
Last Update Date : 04/07/2020

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Directions to “LUXOTTICA OF AMERICA INC ” Practice Location

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