Provider Demographics
NPI:1205980562
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
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-765-2155
Mailing Address - Street 1:285 W 74TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1330 FAIRVIEW BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1472
Practice Address - Country:US
Practice Address - Phone:856-829-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2024-06-24
Deactivation Date:2013-07-10
Deactivation Code:
Reactivation Date:2013-08-02
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00333800332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0682000002Medicare NSC