LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1306995576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306995576 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #C1034 |
| Practice Address |
2011 N Roan St Mall At Johnson City Johnson City TN 37601-3130 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 4232820016 |
| Mailing Telephone | 4232820016 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-07-18 |
| 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 |
|---|---|
| SEARS OPTICAL #C1034 | 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 |
| Oklahoma Business Registrations | LUXOTTICA RETAIL NORTH AMERICA INC. | 4000 Luxottica Pl, Mason, OH 45040 |
| Street Address |
2011 N ROAN ST MALL AT JOHNSON CITY |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053480723 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2011 N Roan St, Johnson City, TN 37601-3130 | 2006-11-07 |
| 1144838137 | Caitlin Jan Follansbee | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2020-07-16 |
| 1427610385 | Jackie Ngo | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2019-07-01 |
| 1700445459 | Joshua David Taylor | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2019-06-06 |
| 1093201188 | Jessica Wei-yee Chan | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2018-07-02 |
| 1780953364 | Kelly Nicole Conyer | Optometrist | 2011 N Roan St, Dr. Carlson & Associates In The Mall At Johnson City, Johnson City, TN 37601-3130 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1346397635 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 601-635 Harry L Dr, Oakdale Mall, Johnson City, NY 13790-1246 | 2007-01-05 |
| 1578627766 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 601635 Harry L Dr, Oakdale Mall Ste #55, Johnson City, NY 13790-1246 | 2006-12-21 |
| 1053480723 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2011 N Roan St, Johnson City, TN 37601-3130 | 2006-11-07 |
| 1710061049 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 3101 Browns Mill Road, Johnson City, TN 37604 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174565 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6722 Charlotte Pike Ste 107, Nashville, TN 37209-4267 | 2020-01-28 |
| 1124527858 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2012 Crossing Circle, Suite B, Spring Hill, TN 37174-3207 | 2018-02-08 |
| 1710404801 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1207 Villa Pl Ste B, Nashville, TN 37212-3018 | 2017-08-29 |
| 1730606823 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 401 Church St Ste 7, Nashville, TN 37219-2213 | 2017-08-29 |
| 1104357524 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2840 N Germantown Pkwy, Memphis, TN 38133-8149 | 2017-03-27 |
| 1114398534 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1150 Vann Drive, Jackson, TN 38305-6001 | 2015-10-12 |
| 1205206588 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 5307 Highway 153, 101, Hixson, TN 37343-4912 | 2015-09-30 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1841537107 | The Eyeglass Place | Eyewear Supplier (Equipment, not the service) | 8079 Kingston Pike Ste P, Knoxville, TN 37919-3909 | 2013-01-07 |
| 1699035972 | Barton Perreira Retail II, LLC | Eyewear Supplier (Equipment, not the service) | 4017 Hillsboro Pike, 309-a, Nashville, TN 37215-2777 | 2012-05-21 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.