Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Doing business as

SEARS OPTICAL #C1081

Practice address

1500 N Clinton St
Northtown Mall
Defiance, OH 43512-8886

Phone

(419) 782-2122

NPI assigned

Sep 16, 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 #C1081 Doing business as

Practitioners 3

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

• Julie Annette Frederick, O.D.

  • Optometrist
  • Defiance, OH
  • NPI 1841343415
  NPD (past)
• Randy L Peters, O.D.

  • Optometrist
  • Bryan, OH
  • NPI 1902866130
  NPD (past)
• Reed T Roth, O.D.

  • Optometrist
  • Perrysburg, OH
  • NPI 1679576474
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1588760219",
    "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": "419-782-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N CLINTON ST",
            "address_2": "NORTHTOWN MALL",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435128886",
            "telephone_number": "419-782-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-07-18",
        "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 #C1081",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Kay Lowe
• Danielle Lucas, M.A., CCC/SLP
• Joshua Michael Lucas, M.D.
• Tamara Lucas, CDCA
• Matthew Alan Luthi, ATC
• Jennifer Ann Lydy
• M & M Medivan
• Sarah Maenle, MS CCC-SLP
• Majestic Care of Defiance LLC
• Anne Mallett, LISW-S

• Eyewear Supplier in Defiance, OH
• Providers in Defiance, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.