Organization Active NPI

Luxottica Retail North America Inc

  • Eyewear Supplier
  • Rochester, MN
National Provider Identifier
1457542482
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LUXOTTICA RETAIL NORTH AMERICA INC
Doing business as
PEARLE VISION #6710
Practice address
4607 Maine Ave SE
Shops on Main Ste #209
Rochester, MN 55904-4001
Phone
(507) 282-6852
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4607 Maine Ave SE
Shops on Main Ste #209
Rochester, MN 55904-4001

Mailing address

4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (507) 282-6852

Other names 1

  • PEARLE VISION #6710 Doing business as

National Provider Directory

National Provider Directory

Locations

4607 Maine Ave SE
Ste 209
Rochester, MN 55904
Phone (507) 282-6852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1457542482",
    "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": "507-282-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MAINE AVE SE",
            "address_2": "SHOPS ON MAIN STE #209",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044001",
            "telephone_number": "507-282-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-06-11",
        "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": "PEARLE VISION #6710",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.