LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1407912637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407912637 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #1309 |
| Practice Address |
12055 Pines Blvd Pembroke Lakes Mall Pembroke Pines FL 33026-4112 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 9544383139 |
| Mailing Telephone | 9544383139 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2013-07-12 |
| 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 #1309 | 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 |
12055 PINES BLVD PEMBROKE LAKES MALL |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798078 | D Glen Joseph Pllc | Optometrist | 12055 Pines Blvd, Pembroke Pines, FL 33026-4112 | 2014-12-03 |
| 1710211412 | Jennifer Bauza | Optometrist | 12055 Pines Blvd, Pembroke Pines, FL 33026-4112 | 2009-09-28 |
| 1265627814 | J. Louis Korman | Optometrist | 12055 Pines Blvd, Pembroke Pines, FL 33026-4112 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1902268337 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 323 Sw 145th Ter Spc 3050, Pembroke Pines, FL 33027-1444 | 2016-03-24 |
| 1942472766 | Dr William Porter Od Pa Dba Pearle Vision | Eyewear Supplier (Equipment, not the service) | 11005 Pines Blvd, Pembroke Pines, FL 33026 | 2008-04-01 |
| 1164621546 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11605 Pines Blvd, Pembroke Lakes Mall, Pembroke Pines, FL 33026-4109 | 2007-07-16 |
| 1194920157 | Cohen's Fashion Optical | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd Ste 352, Pembroke Pines, FL 33026-4105 | 2007-06-19 |
| 1538206529 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd, Pembroke Lakes Mall Ste #888, Pembroke Pines, FL 33026-4117 | 2007-01-31 |
| 1285789925 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 13700 Pines Blvd, Pembroke Pines, FL 33027-1510 | 2007-01-24 |
| 1053464263 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 12890 Pines Blvd, Pembroke Pines, FL 33027-1708 | 2007-01-19 |
| 1306915905 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9910 Pines Blvd, Pembroke Pines, FL 33024-6139 | 2006-11-07 |
| 1376624551 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 12208 Pines Boulevard, Pembroke Pines, FL 33026 | 2006-10-17 |
| 1326060997 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 11725 Pines Blvd, Pembroke Pines, FL 33026-4110 | 2006-07-24 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on LUXOTTICA RETAIL NORTH AMERICA INC.
| 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.