Organization Active NPI

Luxottica of America Inc.

Doing business as Lenscrafters #1681

  • Eyewear Supplier
  • Grand Rapids, MI
National Provider Identifier
1316092067
Registry record updated Feb 27, 2020
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 #1681
Practice address
3205 28TH St SE
Woodland Mall Ste #I102
Grand Rapids, MI 49512-1695
Phone
(616) 464-0106
NPI assigned
Jan 24, 2007
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

3205 28TH St SE
Woodland Mall Ste #I102
Grand Rapids, MI 49512-1695

Mailing address

4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (616) 464-0106

Other names 1

  • LENSCRAFTERS #1681 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045681 MI DME Supplier - Optician 2567366180 Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1316092067",
    "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": "616-464-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 28TH ST SE",
            "address_2": "WOODLAND MALL STE #I102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121695",
            "telephone_number": "616-464-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "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 #1681",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.