LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1245328616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245328616 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | PEARLE VISION #C6319 |
| Practice Address |
4301 W Wisconsin Ave Fox River Mall #812 Appleton WI 54913-8605 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 9207316116 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-06-16 |
| Authorized Official Name | MR. TERRY KROTH (SPECIALIST) |
| Authorized Official Telephone | 5137653060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| PEARLE VISION #C6319 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346796968 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 600 Kirkwood Mall, Bismarck, ND 58504-5704 | 2016-09-01 |
| 1427409325 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 Eastview Mall, Eastview-lc Macy's, Victor, NY 14564-1001 | 2016-06-22 |
| 1528416120 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 18th St, Atlanta, GA 30363 | 2016-05-25 |
| 1588922298 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2675 E 12th St, Los Angeles, CA 90023-2618 | 2012-05-01 |
| 1962793612 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9615 E Old Spanish Trail, Tucson, AZ 85748-7540 | 2011-04-29 |
| 1568768026 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7701 I-40 W, Westgate Mall, Amarillo, TX 79121-0999 | 2011-02-01 |
| 1518263086 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4024 Elkhart Rd, Ste #23, Goshen, IN 46526-5807 | 2011-02-01 |
| 1720384290 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6554 S Parker Rd, Arapahoe Crossing #101, Aurora, CO 80016-4737 | 2011-02-01 |
| 1780980250 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5780 S University Dr, Bay 104, Davie, FL 33328-6103 | 2011-02-01 |
| 1548587488 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2778 Cobb Pkwy, Atlanta, GA 30339-8123 | 2010-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Luxottica Retail North America Inc. | National Registered Agents, Inc., One Corporate Center, Hartford, CT 06103 |
| Vermont Business Registrations | LUXOTTICA RETAIL NORTH AMERICA INC. | 4000 Luxottica Pl, Mason, OH 45040 |
| Massachusetts Corporations | LUXOTTICA RETAIL NORTH AMERICA INC. | 4000 Luxottica Place, Mason, OH 45040 |
| Street Address |
4301 W WISCONSIN AVE FOX RIVER MALL #812 |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174622583 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #144, Appleton, WI 54913-8605 | 2006-09-22 |
| 1760018451 | Khone Yang | Pharmacist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2020-03-13 |
| 1366828360 | Robert Sikes | Pharmacist | 4301 W Wisconsin Ave, Suite 42, Appleton, WI 54913-8605 | 2015-08-03 |
| 1174876601 | Chintan Brahmbhatt | Pharmacist | 4301 W Wisconsin Ave, Suite 42 (t-0238), Appleton, WI 54913-8605 | 2012-10-22 |
| 1700136603 | Simi Simon | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2012-09-18 |
| 1588993711 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2009-12-17 |
| 1154521144 | Dr Rick Davison and Assoc, LLC | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2007-07-19 |
| 1114075975 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2007-01-08 |
| 1114074416 | Nicholas George Hafeman | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2007-01-05 |
| 1629147137 | Richard Davison | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159244 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1490 Oneida St, Appleton, WI 54915-7100 | 2019-05-11 |
| 1982260352 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3525 E Calumet St Ste 1400, Appleton, WI 54915-4181 | 2019-05-11 |
| 1174622583 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #144, Appleton, WI 54913-8605 | 2006-09-22 |
| 1508422924 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1033 W Northland Ave Ste B, Appleton, WI 54914-1499 | 2019-05-10 |
| 1942793179 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2018-06-12 |
| 1265830301 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2600 W College Ave, Suite 1a, Appleton, WI 54914-4200 | 2014-12-05 |
| 1588993711 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2009-12-17 |
| 1114100518 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | W3208 Van Roy Rd, Appleton, WI 54915 | 2007-12-10 |
| 1114075975 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2007-01-08 |
| 1043386600 | Optivision Eye Care LLP | Eyewear Supplier (Equipment, not the service) | 223 S Nicolet Rd, Appleton, WI 54914-3938 | 2006-11-27 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.