NPIMap

Organization Active NPI

Luxottica of America Inc.

Doing business as Lenscrafters # 112

  • Eyewear Supplier
  • Champaign, IL
National Provider Identifier
1104970813
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LUXOTTICA OF AMERICA INC.
Doing business as
Lenscrafters # 112
Lenscrafters #00112
Practice address
2000 N Neil St
Market Place S/C
Champaign, IL 61820-7808
Phone
(217) 356-8585
NPI assigned
Jan 22, 2007
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2000 N Neil St
Market Place S/C
Champaign, IL 61820-7808

Mailing address

4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (217) 356-8585

Other names 2

  • LENSCRAFTERS # 112 Doing business as
  • Lenscrafters #00112 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000477 IL Part B Supplier - Clinic/Group Practice 2567366180 Receives reassigned benefits from 79 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Park Ridge, IL; Orland Park, IL; Oak Brook, IL; Northbrook, IL; Norridge, IL; Machesney Park, IL; Lincolnwood, IL; Lincolnshire, IL…
O20100930098133 IL DME Supplier - Optician 2567366180 Practice locations: Champaign, IL

National Provider Directory

National Provider Directory
Tax ID family
Luxottica of America Inc1,287 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1104970813",
    "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": "217-356-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N NEIL ST",
            "address_2": "MARKET PLACE S/C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207808",
            "telephone_number": "217-356-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-01-28",
        "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 # 112",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lenscrafters #00112",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.