Luxottica of America Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA OF AMERICA INC.

Doing business as

Pearle Vision #1377

Practice address

2220 Troy Rd
Edwardsville, IL 62025-2582

Phone

(618) 659-9604

NPI assigned

Oct 9, 2006

Last updated

Jul 11, 2019By 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

Emilia Flamini

Title

Cfo, North America

Phone

(513) 765-6623

Specialties & licenses 1

Addresses

Other names 1

• PEARLE VISION #1377 Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1548357791",
    "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": "618-659-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 TROY RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252582",
            "telephone_number": "618-659-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2019-07-11",
        "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": "PEARLE VISION #1377",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEARLE VISION #1377",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicolas Raul Luciani, RN
• Amy Luckenbill Mullane, RPH
• Maria Luebke, MSN, RN, CNEN
• Holly A Lutes, RBT
• Sherri Robin Luttrell, M.S. CCC-SLP
• Brent Lyerly, D.C.
• Genevieve Autumn-Rose Judith Lyeth
• Rachael Diane Lynn, PT
• Faith Maduka, MD
• Victoria Nicole Magruder

• Eyewear Supplier in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.