1619428679 NPI number — LUXOTTICA OF AMERICA INC.

Table of content: (NPI 1619428679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619428679 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 #3372
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:
1619428679
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 LUXOTTIC PL ATTN MEDICARE DEPT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MASON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45040
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:
5135 W ALABAMA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77056-5827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-877-1171
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2016

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)