Provider Demographics
NPI:1457446551
Name:LUXOTTICA OF AMERICA INC
Entity Type:Organization
Organization Name:LUXOTTICA OF AMERICA INC
Other - Org Name:LENSCRAFTERS #03696
Other - Org Type:Doing Business As
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 1:4000 LUXOTTICA PL
Mailing Address - Street 2:ATTN MEDICARE DEPT
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-8114
Mailing Address - Country:US
Mailing Address - Phone:303-278-0577
Mailing Address - Fax:
Practice Address - Street 1:14500 W COLFAX AVE UNIT 309
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3229
Practice Address - Country:US
Practice Address - Phone:303-278-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0180150999Medicare NSC