LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1174672141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174672141 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #C1095 |
| Practice Address |
2021 N Highland Ave Jackson TN 38305-4918 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 7316645655 |
| Mailing Telephone | 7316645655 |
| 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 #C1095 | 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 |
2021 N HIGHLAND AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356498828 | Corey Glenn Persons | Optometrist | 2021 N Highland Ave, Jackson, TN 38305-4918 | 2007-01-05 |
| 1124491246 | Corey Glenn Persons | Optometrist | 2021 N Highland Ave, Suite B-6, Jackson, TN 38305-4918 | 2015-11-11 |
| 1073669347 | James Earl Haggard | Optometrist | 2021 N Highland Ave, Jackson, TN 38305-4918 | 2007-01-26 |
| 1326193483 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2021 N Highland Ave, Old Hickory Mall, Jackson, TN 38305-4918 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1114398534 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1150 Vann Drive, Jackson, TN 38305-6001 | 2015-10-12 |
| 1114325164 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6351 I 55 N, Suite 115-a, Jackson, MS 39213-9720 | 2014-12-08 |
| 1982976452 | Optical Connection Inc | Eyewear Supplier (Equipment, not the service) | 21 S Hope Chapel Rd Ste 105, Jackson, NJ 08527-5000 | 2012-01-31 |
| 1366697799 | Mississippi Eye Care Associates of Jackson, Pllc | Eyewear Supplier (Equipment, not the service) | 310 West Woodrow Wilson Avenue, Suite 300, Jackson, MS 39213-7662 | 2008-11-26 |
| 1407037252 | Vision Center At Westbank, Inc | Eyewear Supplier (Equipment, not the service) | 520 Us Hwy 89, Jackson, WY 83001 | 2007-11-21 |
| 1760683221 | Tri State Muller Optical Inc | Eyewear Supplier (Equipment, not the service) | 203 W Baltimore St, Jackson, TN 38301-6103 | 2007-05-30 |
| 1366581910 | I Care Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 160 Mctyere Ave, Jackson, MS 39202-1529 | 2007-02-06 |
| 1376689554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1401 N W Ave, Jackson, MI 49202-2052 | 2007-01-29 |
| 1972650364 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1400 Metroctr Mall, Jackson, MS 39209-7520 | 2007-01-05 |
| 1104982347 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1250 Jackson Crossing, Jackson Crossing Mall, Jackson, MI 49202-2042 | 2006-12-30 |
| Find all providers in JACKSON | ||||
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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.