Organization Active NPI

Luxottica of America Inc.

Doing business as Target Optical #9706

  • Eyewear Supplier
  • Shorewood, IL
National Provider Identifier
1083262372
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LUXOTTICA OF AMERICA INC.
Doing business as
Target Optical #9706
Practice address
1111 Brook Forest Ave
Shorewood, IL 60404-8845
Phone
(815) 267-9016
NPI assigned
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Sara Francescutto
Title
Cfo
Phone
(513) 765-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1111 Brook Forest Ave
Shorewood, IL 60404-8845

Mailing address

4000 Luxottica Place
Attn Medicare Department
Mason, OH 45040-8114
Phone (513) 765-6623

Other names 1

  • Target Optical #9706 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715000040 IL DME Supplier - Optician 2567366180 Practice locations: Shorewood, IL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Luxottica of America Inc1111 Brook Forest Ave, Shorewood, IL 60404-8845(815) 267-9016 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Mar 31, 2010

National Provider Directory

National Provider Directory
Tax ID family
Luxottica of America Inc1,285 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1083262372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LUXOTTICA PLACE",
            "address_2": "ATTN MEDICARE DEPARTMENT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408114",
            "telephone_number": "513-765-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROOK FOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048845",
            "telephone_number": "815-267-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "FRANCESCUTTO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-765-2155"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Target Optical #9706",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Target Optical #9706",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.

Verify at the official NPI Registry.