LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1205993276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205993276 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #C0240 |
| Practice Address |
10302 Southside Blvd The Avenues Mall Jacksonville FL 32256-0706 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 9043639285 |
| Mailing Telephone | 9043639285 |
| Enumeration Date | 2007-01-02 |
| 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 #C0240 | 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 |
10302 SOUTHSIDE BLVD THE AVENUES MALL |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-0706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336261510 | Renata Folstein | Dentist | 10302 Southside Blvd, Jacksonville, FL 32256-0706 | 2007-04-06 |
| 1063611804 | Diya Talwar | Dentist | 10302 Southside Blvd, Jacksonville, FL 32256-0706 | 2007-07-12 |
| 1285855494 | Thomas Miller | Dentist | 10302 Southside Blvd, Jacksonville, FL 32256-0706 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| 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 |
|---|---|---|---|---|
| 1457968471 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 12200 Atlantic Blvd, Jacksonville, FL 32225-3006 | 2020-09-24 |
| 1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
| 1760048151 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1705 W Morton Ave, Jacksonville, IL 62650-2719 | 2019-05-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1568889111 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4890 Big Island Dr, Jacksonville, FL 32246-7490 | 2014-03-20 |
| 1275957797 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 1345 Western Blvd, Suite120, Jacksonville, NC 28546-6663 | 2014-02-05 |
| 1366748832 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10300 Ssd Blvd Ste 237, Jacksonville, FL 32256-0743 | 2011-02-01 |
| 1639475106 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4495 Roosevelt Blvd Ste 101, Jacksonville, FL 32210-3382 | 2011-02-01 |
| 1083938443 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4495101 Roosevelt Blvd, Roosevelt Blvd, Jacksonville, FL 32210 | 2010-03-15 |
| 1174779730 | Sight 'n Style, Inc. | Eyewear Supplier (Equipment, not the service) | 1403-16 Dunn Avenue, Jacksonville, FL 32218 | 2008-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.