Active NPI
Luxottica Retail North America Inc
- Eyewear Supplier
- Stroudsburg, PA
National Provider Identifier
1306900824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Doing business as
- PEARLE VISION #C6335
- Practice address
- 320 Stroud Mall
Stroudsburg, PA 18360-1139 - Phone
- (570) 424-5114
- NPI assigned
- Dec 20, 2006
- 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
- Ms. Wendy Uhls
- Title
- Medicare Administrator
- Phone
- (513) 765-3534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
320 Stroud Mall
Stroudsburg, PA 18360-1139
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (513) 765-3534
Other names 1
- PEARLE VISION #C6335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054938 | PA | DME Supplier - Optician | 2567366180 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stroudsburg, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1306900824",
"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": "513-765-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 STROUD MALL",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601139",
"telephone_number": "570-424-5114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "UHLS",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
"authorized_official_telephone_number": "513-765-3534",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEARLE VISION #C6335",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.