Active NPI
Luxottica of America Inc.
- Eyewear Supplier
- New Berlin, WI
National Provider Identifier
1659422970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC.
- Doing business as
- TARGET OPTICAL #4017
TARGET OPTICAL #C4157 - Practice address
- 4798 S Moorland Rd
New Berlin, WI 53151-7486 - Phone
- (262) 207-0023
- NPI assigned
- Jan 15, 2007
- 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
- Emilia Flamini
- Title
- Cfo, North America
- Phone
- (513) 765-6623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4798 S Moorland Rd
New Berlin, WI 53151-7486
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (262) 207-0023
Other names 2
- TARGET OPTICAL #4017
- TARGET OPTICAL #C4157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000092 | WI | Part B Supplier - Clinic/Group Practice | 2567366180 |
Receives reassigned benefits from 18 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rib Mountain, WI; Racine, WI; Milwaukee, WI; Menomonee Falls, WI; Madison, WI; Greenfield, WI; Green Bay, WI; Glendale, WI… |
Other NPIs on the same Medicare enrollment 27
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": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549843200000",
"number": "1659422970",
"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": "262-207-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4798 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517486",
"telephone_number": "262-207-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2019-02-11",
"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": "TARGET OPTICAL #4017",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TARGET OPTICAL #C4157",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.