1528592144 NPI number — LUXOTTICA OF AMERICA INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528592144 NPI number — LUXOTTICA OF AMERICA INC.

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
LUXOTTICA OF AMERICA INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LENSCRAFTERS @ MACY'S #3297
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528592144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 LUXOTTICA PL
Provider Second Line Business Mailing Address:
ATTN MEDICARE DEPT
Provider Business Mailing Address City Name:
MASON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45040-8114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-765-6000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
630 OLD COUNTRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11530-3467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-248-2192
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2017

Additional Information

			
		

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)