Provider Demographics
NPI:1235287871
Name:LUXOTTICA OF AMERICA INC
Entity type:Organization
Organization Name:LUXOTTICA OF AMERICA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-2155
Mailing Address - Street 1:4000 LUXOTTICA PL
Mailing Address - Street 2:ATTN: MEDICARE DEPT
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8114
Mailing Address - Country:US
Mailing Address - Phone:513-765-2155
Mailing Address - Fax:
Practice Address - Street 1:4135 N HARLEM AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-1211
Practice Address - Country:US
Practice Address - Phone:708-457-1121
Practice Address - Fax:708-457-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2024-06-21
Deactivation Date:2013-07-11
Deactivation Code:
Reactivation Date:2013-08-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0682000031Medicare NSC