Active NPI
Luxottica Retail North America Inc
- Eyewear Supplier
- Cedar Rapids, IA
National Provider Identifier
1407910102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Practice address
- 4444 1St Ave NE
Lindale Mall Ste #575
Cedar Rapids, IA 52402-3215 - Phone
- (319) 393-0776
- 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
4444 1St Ave NE
Lindale Mall Ste #575
Cedar Rapids, IA 52402-3215
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (319) 393-0776
Other names 1
- PEARLE VISION #C6291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930071362 | IA | DME Supplier - Optician | 2567366180 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cedar Rapids, IA |
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": "1263945600000",
"number": "1407910102",
"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": "319-393-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 1ST AVE NE",
"address_2": "LINDALE MALL STE #575",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023215",
"telephone_number": "319-393-0776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2010-01-20",
"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 #C6291",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.