Active NPI
Luxottica Retail North America Inc
- Eyewear Supplier
- Fond Du Lac, WI
National Provider Identifier
1902959273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA RETAIL NORTH AMERICA INC
- Practice address
- 835 W Johnson St SPC C07C
Fond Du Lac, WI 54935 - Phone
- (920) 906-9489
- NPI assigned
- Jan 19, 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
- Susan M. Kinsey
- Title
- VP, Controller Finance
- Phone
- (513) 765-6331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
835 W Johnson St SPC C07C
Fond Du Lac, WI 54935
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (920) 906-9489
Other names 1
- LENSCRAFTERS #1785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fond Du Lac, WI
- NPI 1639241508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533168000000",
"number": "1902959273",
"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": "920-906-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 W JOHNSON ST SPC C07C",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-906-9489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA RETAIL NORTH AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2018-08-02",
"status": "A",
"authorized_official_last_name": "KINSEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "VP, CONTROLLER FINANCE",
"authorized_official_telephone_number": "513-765-6331"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LENSCRAFTERS #1785",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.