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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1700575560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXOTTICA OF AMERICA INC

Provider Business Mailing Address
First Line	:	4000 LUXOTTICA PLACE
Second Line	:	ATTN MEDICARE DEPT.
City	:	MASON
State	:	OH
Zip	:	45040-8114
Country	:	US
Telephone Number	:	513-765-2155
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 CAMINO DE LA PLZ STE 134
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92173-3048
Country	:	US
Telephone Number	:	619-690-5707
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SARA FRANCESCUTTO
Credential	:
Telephone Number	:	513-765-2155

Provider Enumeration Date	:	05/05/2023
Last Update Date	:	05/05/2023

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Directions to “LUXOTTICA OF AMERICA INC ” Practice Location

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