Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Doing business as

Sears Optical #C0152

Practice address

4125 E Wilder Rd
Bay City Mall
Bay City, MI 48706-2240

Phone

(989) 684-5592

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Addresses

Other names 1

• SEARS OPTICAL #C0152 Doing business as

Locations

Practitioners 3

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

• Jerry C. Appold, OD

  • Optometrist
  • Saginaw, MI
  • NPI 1629118351
  NPD (past)
• Patrick Paul Ruggles, OD

  • Optometrist
  • Bay City, MI
  • NPI 1174666101
  NPD (past)
• James C. Williams, O.D.

  • Optometrist
  • N Charleston, SC
  • NPI 1548282841
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1568528925",
    "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": "989-684-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 E WILDER RD",
            "address_2": "BAY CITY MALL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062240",
            "telephone_number": "989-684-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-07-12",
        "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": "SEARS OPTICAL #C0152",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Matthew Lupo, PA-C
• Lauren Taylor Luptowski
• Lutheran Child and Family Service of Michigan
• Talon Lutz-Danielski
• Genevieve Rose Lux, LLBSW
• Luxottica Retail North America Inc (Pearle Vision #C6832)
• Shardavia Lyte
• Scott R Macdonald
• Stella Rhoda Macheso, DNP, ACCNS-AG
• Jordan Maciejewski, OT

• Eyewear Supplier in Bay City, MI
• Providers in Bay City, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.