Active NPI
Luxottica of America Inc
Doing business as Target Optical #4142
- Eyewear Supplier
- Cambridge, MN
National Provider Identifier
1861543167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC
- Doing business as
- Target Optical #4142
- Practice address
- 215 Balsam St N
Ste #100
Cambridge, MN 55008-5814 - Phone
- (763) 689-3774
- NPI assigned
- Jan 15, 2007
- Last updated
- Jul 11, 2025
- 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
- Sara Francescutto
- Title
- Cfo
- Phone
- (513) 765-2155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
215 Balsam St N
Ste #100
Cambridge, MN 55008-5814
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (763) 689-3774
Other names 1
- TARGET OPTICAL #4142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930067930 | MN | DME Supplier - Optician | 2567366180 | Practice locations: Cambridge, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Target Optical #4142 | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Luxottica of America Inc
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Target Optical #C4392
- Eyewear Supplier
- St Louis Park, MN
- NPI 1699843631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1861543167",
"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": "763-689-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BALSAM ST N",
"address_2": "STE #100",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550085814",
"telephone_number": "763-689-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "FRANCESCUTTO",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "513-765-2155"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TARGET OPTICAL #4142",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.