Active NPI
Luxottica of America Inc
- Eyewear Supplier
- Syracuse, NY
National Provider Identifier
1295895142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC
- Doing business as
- LensCrafters #723
- Practice address
- 9090 Destiny USA Dr # A109
Syracuse, NY 13204 - Phone
- (315) 474-8490
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Kinsey
- Title
- VP, Controller Finance
- Phone
- (513) 765-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
9090 Destiny USA Dr # A109
Syracuse, NY 13204
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (315) 474-8490
Other names 1
- LensCrafters #723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930025028 | NY | DME Supplier - Optician | 2567366180 | Practice locations: Syracuse, NY |
National Provider Directory
National Provider DirectoryLocations
9090 Destiny USA Dr
#A109
Syracuse, NY 13204
Phone (315) 474-8490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Syracuse, NY
- NPI 1003478520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1295895142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 LUXOTTICA PL",
"address_2": "ATTN MEDICARE DEPT",
"city": "MASON",
"state": "OH",
"postal_code": "450408114",
"telephone_number": "315-474-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 DESTINY USA DR # A109",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13204",
"telephone_number": "315-474-8490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "KINSEY",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "VP, CONTROLLER FINANCE",
"authorized_official_telephone_number": "513-765-6000"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LensCrafters #723",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.