Provider Demographics
NPI:1609920669
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, NORTH AMERICA
Authorized Official - Prefix:
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAMINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-6623
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:815-436-1770
Mailing Address - Fax:
Practice Address - Street 1:3340 MALL LOOP DR
Practice Address - Street 2:WESTFIELD LOUIS JOLIET MALL
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-1057
Practice Address - Country:US
Practice Address - Phone:815-436-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0180150252Medicare NSC