Luxottica Retail North America Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUXOTTICA RETAIL NORTH AMERICA INC

Doing business as

Target Optical #4311

Practice address

14500 W Colfax Ave
Lakewood, CO 80401-3203

Phone

(303) 273-9953

NPI assigned

Jan 12, 2007

Reactivated

Sep 18, 2019

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

• Target Optical #4311 Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1770633505",
    "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": "303-273-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013203",
            "telephone_number": "303-273-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-09-18",
        "deactivation_date": "2019-02-06",
        "reactivation_date": "2019-09-18",
        "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": "Target Optical #4311",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Morris Luxenberg, NURSE PRACTITIONER
• Luxottica of America Inc (Oakley B014)
• Luxottica of America Inc (Lenscrafters #03696)
• Luxottica of America Inc. (Lenscrafters #350)
• Luxottica Retail North America (Target 6756)
• Luxury Tooth Booth Inc.
• Luxury Wellness Solutions Inc
• Dylan R Luyten, M.D.
• Eric M Lyders, MD
• Christina P. Lynch, PSY.D.

• Eyewear Supplier in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.