Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Doing business as

Sears Optical #C0155

Practice address

3030 Gateway Blvd
Gateway Mall
Springfield, OR 97477-7477

Phone

(541) 741-7049

NPI assigned

Dec 29, 2006

Last updated

Jun 16, 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

• SEARS OPTICAL #C0155 Doing business as

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1215093513",
    "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": "541-741-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GATEWAY BLVD",
            "address_2": "GATEWAY MALL",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777477",
            "telephone_number": "541-741-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-06-16",
        "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 #C0155",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Lovendahl-Toepke
• Chelsea Loy, CSWA
• Allison Jean Lufkin, M.ED
• Catherine Celeste Luna
• Dara Lynn Luras, LPN
• Stephen Lyddane
• Randall Donovan Lynch, ATC
• M. R . Imaging Associates Limited Partnership
• Sherry Ma
• Molly Gessica Maas

• Eyewear Supplier in Springfield, OR
• Providers in Springfield, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.