Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Doing business as

Target Optical #C4417

Practice address

27100 Eucalyptus Ave
Moreno Valley, CA 92555-4522

Phone

(951) 247-2365

NPI assigned

Jul 30, 2007

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry Kroth

Title

Specialist

Phone

(513) 765-3060

Specialties & licenses 1

Addresses

Other names 1

• TARGET OPTICAL #C4417 Doing business as

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1073703658",
    "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": "951-247-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 EUCALYPTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554522",
            "telephone_number": "951-247-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "KROTH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "513-765-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET OPTICAL #C4417",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Nicole Luque
• Maria T Luquin Cardenas
• Cailey Lushanko, DNP-CRNA
• Vanson Tradzu Luu, PHARMD
• Luxottica of America Inc. (LensCrafters #1046)
• Jeannie Ly
• Michael Minh Ba Ly, D.O
• Lynn Daz, D.D.S. ,Inc. (Moreno Valley Endodontics)
• M & M Medical
• M Cecilia Gonzalez DDS a Prof Corp (Iris Dental Care Office of Dr M Cecilia Gonzalez DDS)

• Eyewear Supplier in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.