Luxottica of America Inc.
Organization Active NPI Eyewear Supplier · Bridgewater, NJ
NPI 1730635343 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1730635343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- LUXOTTICA OF AMERICA INC.
- Practice address
- 200 Promenade Blvd
Bridgewater, NJ 08807-3456 - Phone
- (732) 357-1168
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Emilia Flamini
- Title
- Cfo North America
- Phone
- (513) 765-6623
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Luxottica of America Inc |
Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250819000373 | NJ | DME Supplier - Optician | 2567366180 | Practice locations: Bridgewater, NJ |
National Provider Directory
- Tax ID family
- Luxottica of America Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
200 Promenade Blvd
Bridgewater, NJ 08807-3456
Mailing address
4000 Luxottica PL Attn Medicare Dept
Mason, OH 45040
Phone (513) 765-6000
Other names
- TARGET OPTICAL #4645
Other providers in Bridgewater, NJ
- Kristen Lupoli
- Robert H Lustig
- Renee Lux
- Luxottica of America Inc.
- Luxottica of America Inc.
- Elaine S Mabilangan
- Uma Madhavarao
- James Maginnis
- Asha Mahajan
- Sharan S Mahal
All providers in Bridgewater, NJ · Eyewear Supplier in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.