Active NPI
Luxottica Retail North America Inc
Doing business as Pearle Vision #C6367
- Eyewear Supplier
- San Antonio, TX
National Provider Identifier
1891859385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Doing business as
- Pearle Vision #C6367
- Practice address
- 2310 SW Military Dr
South Park Mall
San Antonio, TX 78224-1407 - Phone
- (210) 927-9685
- NPI assigned
- Dec 20, 2006
- 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. Wency 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
2310 SW Military Dr
South Park Mall
San Antonio, TX 78224-1407
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (210) 927-9685
Other names 1
- PEARLE VISION #C6367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930019415 | TX | DME Supplier - Optician | 2567366180 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Antonio, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba LensCrafters #2295
- Eyewear Supplier
- San Antonio, TX
- NPI 1700182276
O20100930019415
National Provider Directory
National Provider DirectoryLocations
2310 SW Military Dr
San Antonio, TX 78224
Phone (210) 927-9685
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": "1265587200000",
"number": "1891859385",
"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": "210-927-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 SW MILITARY DR",
"address_2": "SOUTH PARK MALL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241407",
"telephone_number": "210-927-9685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "UHLS",
"authorized_official_first_name": "WENCY",
"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": "PEARLE VISION #C6367",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
- Luxottica Retail North America Inc (Pearle Vision #C6528)
- Luxottica Retail North America Inc (Pearle Vision #C6488)
- Luxottica Retail North America Inc (Target Optical #2183)
- Luxottica Retail North America Inc (Pearle Vision #C6592)
- Luxottica Retail North America Inc (Target Optical #C4459)
- Luz Counseling and Consulting, PLLC
- Marco Antonio Luz Jr., MD
- Luzangel Hospice Services LLC
- Kaven Kristoffer Caballero Luzarito, RN, BSN, CNN
- Brenda Ly, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.