Active NPI
Luxottica of America Inc
Doing business as Target Optical #A613
- Eyewear Supplier
- West Nyack, NY
National Provider Identifier
1962179713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LUXOTTICA OF AMERICA INC
- Doing business as
- Target Optical #A613
- Practice address
- 4120 Palisades Center Dr
West Nyack, NY 10994-6801 - Phone
- (845) 348-6443
- NPI assigned
- Aug 27, 2021
- Last updated
- Aug 27, 2021
- 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
- Emilia Flamini
- Title
- Cfo, North America
- Phone
- (513) 765-6623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4120 Palisades Center Dr
West Nyack, NY 10994-6801
Mailing address
4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (513) 765-6000
Other names 1
- TARGET OPTICAL #A613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250918001228 | NY | DME Supplier - Optician | 2567366180 | Practice locations: West Nyack, NY |
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 |
|---|---|---|
| Luxottica of America Inc | 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 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Amherst, NY
- NPI 1922475839
-
dba Optical Shop of Aspen #06115
- Eyewear Supplier
- East Hampton, NY
- NPI 1639407240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1962179713",
"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": "513-765-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 PALISADES CENTER DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109946801",
"telephone_number": "845-348-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOTTICA OF AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-11",
"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": "TARGET OPTICAL #A613",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.