LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1528115391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528115391 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #C0576 |
| Practice Address |
1425 W Sern Ave Fiesta Mall Mesa AZ 85202-4814 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 4808336787 |
| Mailing Telephone | 4808336787 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-07-16 |
| 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 |
|---|---|
| SEARS OPTICAL #C0576 | 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 |
| Indiana Business Entities | LUXOTTICA RETAIL NORTH AMERICA INC. | 4000 Luxottica Place, Po Box 8509, Mason, OH 45040 |
| Street Address |
1425 W SERN AVE FIESTA MALL |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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 |
|---|---|---|---|---|
| 1851675003 | Licata Optical LLC | Eyewear Supplier (Equipment, not the service) | 2048 E Baseline Rd, C-6, Mesa, AZ 85204-6969 | 2011-10-06 |
| 1104003532 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1445 W Sern Ave, Fiesta Mall Ste #1080, Mesa, AZ 85202-4803 | 2008-01-29 |
| 1013128735 | Dibok, Inc | Eyewear Supplier (Equipment, not the service) | 1050 W. Main St, Suite 102, Mesa, AZ 85201-7110 | 2007-05-24 |
| 1790821932 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1365 S. Alma School Road, Mesa, AZ 85210 | 2007-01-29 |
| 1376699108 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave Ste 1508, Mesa, AZ 85206-3724 | 2007-01-26 |
| 1780738591 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1649 S Stapley Dr Ste 108, Mesa, AZ 85204 | 2007-01-22 |
| 1780771014 | Tom Sowash Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1938 S Dobson Rd, Mesa, AZ 85202-5658 | 2006-10-06 |
| 1053408344 | Tom Sowash Od & Associates | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave, Suite 2410, Mesa, AZ 85206-3718 | 2006-10-06 |
| 1851482913 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6515 Esern Ave, Superstition Spring Mall, Mesa, AZ 85206-3711 | 2006-09-27 |
| 1386658375 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6525 E. Southern, Mesa, AZ 85206 | 2006-07-28 |
| Find all providers in MESA | ||||
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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.