Active NPI
Luxottica Retail North America Inc
Doing business as Sears Optical #C0169
- Eyewear Supplier
- Vero Beach, FL
National Provider Identifier
1205900636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Doing business as
- Sears Optical #C0169
- Practice address
- 6200 20TH St
Indian River Mall Ste #300
Vero Beach, FL 32966-1079 - Phone
- (772) 978-2168
- NPI assigned
- Nov 18, 2006
- Last updated
- Jul 12, 2013
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
6200 20TH St
Indian River Mall Ste #300
Vero Beach, FL 32966-1079
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (772) 978-2168
Other names 1
- SEARS OPTICAL #C0169
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lenscrafters #01787 | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
6200 20th St
Ste 300
Vero Beach, FL 32966
Phone (321) 693-5150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373587200000",
"number": "1205900636",
"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": "772-978-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 20TH ST",
"address_2": "INDIAN RIVER MALL STE #300",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661079",
"telephone_number": "772-978-2168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-18",
"last_updated": "2013-07-12",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SEARS OPTICAL #C0169",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.