Active NPI
Luxottica Retail North America Inc
- Eyewear Supplier
- Fitchburg, WI
National Provider Identifier
1841480472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Doing business as
- TARGET OPTICAL #C4418
- Practice address
- 6321 McKee Rd
Fitchburg, WI 53719-5017 - Phone
- (608) 274-6747
- NPI assigned
- Jul 30, 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
- 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
6321 McKee Rd
Fitchburg, WI 53719-5017
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (608) 274-6747
Other names 1
- TARGET OPTICAL #C4418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000092 | WI | Part B Supplier - Clinic/Group Practice | 2567366180 |
Receives reassigned benefits from 18 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rib Mountain, WI; Racine, WI; Milwaukee, WI; Menomonee Falls, WI; Madison, WI; Greenfield, WI; Green Bay, WI; Glendale, WI… |
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
6321 McKee Rd
Fitchburg, WI 53719
Phone (608) 274-6747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1841480472",
"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": "608-274-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6321 MCKEE RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537195017",
"telephone_number": "608-274-6747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2010-01-20",
"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": "TARGET OPTICAL #C4418",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.