Active NPI
Luxottica of America Inc.
Doing business as LensCrafters #5779
- Eyewear Supplier
- Modesto, CA
National Provider Identifier
1508018722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC.
- Doing business as
- LensCrafters #5779
- Practice address
- 3401 Dale Rd Ste 483
Modesto, CA 95356-0586 - Phone
- (209) 527-6843
- NPI assigned
- Oct 21, 2008
- Last updated
- Aug 2, 2019
- 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
3401 Dale Rd Ste 483
Modesto, CA 95356-0586
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (209) 527-6843
Other names 1
- LensCrafters #5779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930023672 | CA | DME Supplier - Optician | 2567366180 | Practice locations: Modesto, CA |
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 |
|---|---|---|
| Lenscrafters #5779 | 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.
Locations
3401 Dale Rd
Ste 483
Modesto, CA 95356
Phone (209) 527-6843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564704000000",
"number": "1508018722",
"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": "209-527-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 DALE RD STE 483",
"city": "MODESTO",
"state": "CA",
"postal_code": "953560586",
"telephone_number": "209-527-6843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2019-08-02",
"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 #5779",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.