Active NPI
Luxottica Retail North America Inc
- Eyewear Supplier
- Rockville, MD
National Provider Identifier
1760545214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Doing business as
- PEARLE VISION #C6347
- Practice address
- 1060 Rockville Pike
Rockville, MD 20852-1404 - Phone
- (301) 294-0900
- NPI assigned
- Dec 18, 2006
- 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
- Ms. Wendy Uhls
- Title
- Medicare Administrator
- Phone
- (513) 765-3534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1060 Rockville Pike
Rockville, MD 20852-1404
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (301) 294-0900
Other names 1
- PEARLE VISION #C6347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930084746 | MD | DME Supplier - Optician | 2567366180 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rockville, MD |
Other NPIs on the same Medicare enrollment 1
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": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1760545214",
"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": "301-294-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521404",
"telephone_number": "301-294-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "UHLS",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
"authorized_official_telephone_number": "513-765-3534",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEARLE VISION #C6347",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.