Provider Demographics
| NPI: | 1144734146 |
|---|---|
| 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 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 513-765-6000 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1405 S 10TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | PHILADELPHIA |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19147-5608 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 215-861-1368 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-11-29 |
| Last Update Date: | 2020-12-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Multi-Specialty | |
| Yes | 332H00000X | Suppliers | Eyewear Supplier | Group - Multi-Specialty |