Active NPI
Luxottica of America Inc.
Doing business as Lenscrafters #204
- Eyewear Supplier
- Snellville, GA
National Provider Identifier
1396890083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC.
- Doing business as
- Lenscrafters #204
- Practice address
- 4002 Stone Mountain Hwy Ste 100
Snellville, GA 30039-3977 - Phone
- (770) 985-2666
- NPI assigned
- Jan 24, 2007
- 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
- Emilia Flamini
- Title
- Cfo, North America
- Phone
- (513) 765-6623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4002 Stone Mountain Hwy Ste 100
Snellville, GA 30039-3977
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (770) 985-2666
Other names 1
- LENSCRAFTERS #204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024953 | GA | DME Supplier - Optician | 2567366180 | Practice locations: Snellville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Luxottica of America Inc | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Luxottica of America Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569369600000",
"number": "1396890083",
"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": "770-985-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 STONE MOUNTAIN HWY STE 100",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300393977",
"telephone_number": "770-985-2666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2019-09-25",
"status": "A",
"authorized_official_last_name": "FLAMINI",
"authorized_official_first_name": "EMILIA",
"authorized_official_title_or_position": "CFO, NORTH AMERICA",
"authorized_official_telephone_number": "513-765-6623"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LENSCRAFTERS #204",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.