LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1255482857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255482857 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | TARGET OPTICAL #C4041 |
| Practice Address |
405 Se Everett Mall Way Everett WA 98208-3243 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 4253472636 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-01-20 |
| Authorized Official Name | MS. WENDY UHLS (MEDICARE ADMINISTRATOR) |
| Authorized Official Telephone | 5137653534 |
| 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 |
|---|---|
| TARGET OPTICAL #C4041 | 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 |
405 SE EVERETT MALL WAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902828692 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 405 Se Everett Mall Way, Everett, WA 98208-3243 | 2006-07-24 |
| 1346847696 | Eunka Youssef Tobia | Pharmacist | 405 Se Everett Mall Way, Everett, WA 98208-3243 | 2020-10-08 |
| 1437638442 | Eunhye Park | Pharmacist | 405 Se Everett Mall Way, Everett, WA 98208-3243 | 2018-08-09 |
| 1780074690 | Khaled Mohamed Aboutaleb | Pharmacist | 405 Se Everett Mall Way, Everett, WA 98208-3243 | 2015-01-29 |
| 1073958807 | Tyler Young | Pharmacist | 405 Se Everett Mall Way, T-337, Everett, WA 98208-3243 | 2013-05-07 |
| 1073867289 | Amy Dembowski Brewster | Pharmacist | 405 Se Everett Mall Way, T-0337, Everett, WA 98208-3243 | 2012-11-09 |
| 1043504822 | Tristine Samberg | Pharmacist | 405 Se Everett Mall Way, T-0337, Everett, WA 98208-3243 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1841354503 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 1402 Se Everett Mall Way, Ste #262, Everett, WA 98208-2857 | 2006-12-20 |
| 1912946302 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 8530 Evergreen Way, Everett, WA 98208-2652 | 2006-06-04 |
| 1366836561 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2 Mystic View Rd, Everett, MA 02149-2428 | 2015-03-25 |
| 1285024786 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10200 19th Ave Se, Everett, WA 98208-4256 | 2015-02-04 |
| 1235420985 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 Mystic View Rd, Everett, MA 02149-2428 | 2011-04-29 |
| 1114084910 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1302 Se Everett Mall Way, Everett, WA 98208-8208 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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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.