Provider Demographics
NPI:1689080772
Name:LUXOTTICA OF AMERICA INC.
Entity Type:Organization
Organization Name:LUXOTTICA OF AMERICA INC.
Other - Org Name:TARGET OPTICAL C2947
Other - Org Type:Doing Business As
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 1:815 HUTCHINSON RIVER PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1887
Practice Address - Country:US
Practice Address - Phone:718-904-8498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier