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	:	1750533550
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	:	954-970-0398
Fax Number	:

Provider Business Practice Location Address
First Line	:	4413 LYONS RD
Second Line	:	THE PROMENADE AT LYONS
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4383
Country	:	US
Telephone Number	:	954-970-0398
Fax Number	:

Authorized Official
Title or Position	:	CFO, NORTH AMERICA
Name	:	EMILIA FLAMINI
Credential	:
Telephone Number	:	513-765-6623

Provider Enumeration Date	:	10/13/2008
Last Update Date	:	03/02/2020

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