Organization Active NPI

Luxottica of America Inc

Doing business as Pearle Vision #6261

  • Eyewear Supplier
  • Everett, WA
National Provider Identifier
1841354503
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LUXOTTICA OF AMERICA INC
Doing business as
Pearle Vision #6261
Practice address
1402 SE Everett Mall Way
Ste #262
Everett, WA 98208-2857
Phone
(425) 347-2020
NPI assigned
Dec 20, 2006
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1402 SE Everett Mall Way
Ste #262
Everett, WA 98208-2857

Mailing address

4000 Luxottica PL
C/O Medicare Dept.
Mason, OH 45040-8114
Phone (425) 347-2020

Other names 1

  • Pearle Vision #6261 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032729 WA DME Supplier - Optician 2567366180 Practice locations: Everett, WA

National Provider Directory

National Provider Directory
Tax ID family
Luxottica of America Inc1,286 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1841354503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LUXOTTICA PL",
            "address_2": "C/O MEDICARE DEPT.",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408114",
            "telephone_number": "425-347-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 SE EVERETT MALL WAY",
            "address_2": "STE #262",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082857",
            "telephone_number": "425-347-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOTTICA OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "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": "Pearle Vision #6261",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision #6261",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.