Active NPI
Luxottica of America Inc
- Eyewear Supplier
- Wyomissing, PA
National Provider Identifier
1720139702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC
- Doing business as
- TARGET OPTICAL #1923
- Practice address
- 2769 Paper Mill Rd
Wyomissing, PA 19610-3329 - Phone
- (610) 374-9625
- NPI assigned
- Jan 16, 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
2769 Paper Mill Rd
Wyomissing, PA 19610-3329
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (610) 374-9625
Other names 1
- TARGET OPTICAL #1923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000018 | PA | Part B Supplier - Clinic/Group Practice | 2567366180 |
Receives reassigned benefits from 17 practitioners This NPI is an additional NPI on the enrollment Practice locations: Exton, PA; Lancaster, PA; North Wales, PA |
| O20100930072811 | PA | DME Supplier - Optician | 2567366180 | Practice locations: Wyomissing, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1720139702",
"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": "610-374-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 PAPER MILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103329",
"telephone_number": "610-374-9625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"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 #1923",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TARGET OPTICAL #1923",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.