Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Practice address

4495 101 Roosevelt Blvd
Jacksonville, FL 32210-3382

Phone

(904) 388-0948

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Wendy Uhls

Title

Medicare Administrator

Phone

(513) 765-3534

Specialties & licenses 1

Addresses

Other names 1

• PEARLE VISION #C6440 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Jacksonville, FL
  • NPI 1639475106

  O20100930004860

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1043382328",
    "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": "904-388-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 101 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103382",
            "telephone_number": "904-388-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
        "authorized_official_telephone_number": "513-765-3534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION #C6440",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc

• Eyewear Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.

Verify at the official NPI Registry.