Organization Active NPI

Luxottica Retail North America Inc

  • Eyewear Supplier
  • St Peters, MO
National Provider Identifier
1811037377
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LUXOTTICA RETAIL NORTH AMERICA INC
Practice address
1600 Mid Rivers Dr
Mid Rivers Mall Ste #2268
St Peters, MO 63376-4360
Phone
(636) 397-1222
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1600 Mid Rivers Dr
Mid Rivers Mall Ste #2268
St Peters, MO 63376-4360

Mailing address

4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (636) 397-1222

Other names 1

  • PEARLE VISION #6674 Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Mid Rivers Mall
Ste 2268
Saint Peters, MO 63376
Phone (636) 397-1222

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1811037377",
    "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": "636-397-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MID RIVERS DR",
            "address_2": "MID RIVERS MALL STE #2268",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633764360",
            "telephone_number": "636-397-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-06-06",
        "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": "PEARLE VISION #6674",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.