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	:	1710667316
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
Country	:	US
Telephone Number	:	513-765-2155
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 LAS VEGAS BLVD S STE 1070
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-0728
Country	:	US
Telephone Number	:	702-366-7080
Fax Number	:

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

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

Similar Medicare Providers

1053007922 — ERIC RICHARD HEALEY
Practice Location Address:

3200 LAS VEGAS BLVD S STE 1070
LAS VEGAS, NV
89109-0728

Practice Phone: 702-366-7080
Practice Fax: 702-583-4915

1639615784 — VIP BEHAVIORAL HEALTH SUPPORT SERVICES
Practice Location Address:

2613 ALMA LIDIA AVE
NORTH LAS VEGAS, NV
89032-0728

Practice Phone: 702-504-3767
Practice Fax:

1104113471 — CAROLINE NGUYEN M.D.
Practice Location Address:

3201 S MARYLAND PKWY , STE 608
LAS VEGAS, NV
89109-2441

Practice Phone: 702-457-5437
Practice Fax:

1023095379 — REBECCA J BOSCALJON MD
Practice Location Address:

3201 S MARYLAND PKWY STE 608
LAS VEGAS, NV
89109-2428

Practice Phone: 702-457-5437
Practice Fax: 702-464-5801

1780233098 — DR. CRISTINA L KIM DNP, PNP
Practice Location Address:

3201 S MARYLAND PKWY STE 608
LAS VEGAS, NV
89109-2428

Practice Phone: 702-457-5437
Practice Fax: 702-464-5801

1689233652 — SIOBHAN ASSOON-BROADY DNP-PNP
Practice Location Address:

3201 S MARYLAND PKWY STE 608
LAS VEGAS, NV
89109-2428

Practice Phone: 702-457-5437
Practice Fax: 702-464-5801

Directions to “LUXOTTICA OF 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 © 2007-2025 (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.