LUXOTTICA RETAIL NORTH AMERICA INC


Address: 2300 E17th St, Grand Teton Mall, Idaho Falls, ID 83404-6504
Phone: 2085258964

LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1487702981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487702981
Entity Type Organization
Organization Name LUXOTTICA RETAIL NORTH AMERICA INC
Other Organization Name SEARS OPTICAL #C0761
Practice Address 2300 E17th St
Grand Teton Mall
Idaho Falls
ID 83404-6504
Mailing Address 4000 Luxottica Pl
Attn Medicare Dept
Mason
OH 45040-8114
Practice Telephone 2085258964
Mailing Telephone 2085258964
Enumeration Date 2007-01-08
Last Update Date 2013-07-17
Authorized Official Name MR. TERRY KROTH (SPECIALIST)
Authorized Official Telephone 5137653060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
SEARS OPTICAL #C0761 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2300 E17TH ST
GRAND TETON MALL
City IDAHO FALLS
State ID
Zip Code 83404-6504

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NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
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1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114268257 Eyemart Express Ltd Eyewear Supplier (Equipment, not the service) 2990 S 25th E, Idaho Falls, ID 83404-6515 2013-03-14
1508488669 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 2020-05-12
1972983344 Aaron J Affleck Md Pa Eyewear Supplier (Equipment, not the service) 2900 Valencia Dr, Idaho Falls, ID 83404-7594 2015-06-01
1497153134 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 2990 S 25th E, Idaho Falls, ID 83404-6515 2014-12-11
1669703831 Cole Vision Corporation Eyewear Supplier (Equipment, not the service) 2300 E 17th St, Grand Teton Mall, Idaho Falls, ID 83404-6504 2010-01-27
1649324708 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 2300 E 17th St, Grand Teton Mall Ste #1268, Idaho Falls, ID 83404-6504 2007-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972169357 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 2331 Thain Grade Ste 101, Lewiston, ID 83501-4119 2019-05-11
1063078442 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 212 W Ironwood Dr Ste B&c, Coeur D Alene, ID 83814-1403 2019-05-11
1972096469 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 4013 Yellowstone Ave Ste D&e, Chubbuck, ID 83202-1932 2018-06-11
1023528320 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 1605 Blue Lakes Blvd N # A, Twin Falls, ID 83301-3322 2017-10-02
1255757738 Peabody Optical Eyewear Supplier (Equipment, not the service) 409 S 8th St Ste 101, Boise, ID 83702-7136 2014-03-08
1720212632 Walmart Stores, Inc. Eyewear Supplier (Equipment, not the service) 1551 Washington St. N, Twin Falls, ID 83301 2009-05-06
1275715757 Panhandle Eye Clinics Chartered Eyewear Supplier (Equipment, not the service) 704 W College Ave, St Maries, ID 83861-1824 2007-11-27
1447439674 The Frame Joint Eyewear Supplier (Equipment, not the service) 7905 W Ustick Rd, Suite E, Boise, ID 83704-5001 2007-10-24
1255452843 Optical Illusions Inc Eyewear Supplier (Equipment, not the service) 3160 E 17th St, Suite 150, Ammon, ID 83406-6717 2007-04-02
1346378304 I Care Optical LLC Eyewear Supplier (Equipment, not the service) 1017 12th Ave S, Nampa, ID 83651-4660 2007-03-01
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Competitor

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City IDAHO FALLS
Zip Code 83404

Improve Information

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Dataset Information

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.

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