LUXOTTICA RETAIL NORTH AMERICA INC (NPI# 1699824235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699824235 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC |
| Other Organization Name | SEARS OPTICAL #C1080 |
| Practice Address |
3917 Broadway St Times Square Mall Mount Vernon IL 62864-2205 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 6182422348 |
| Mailing Telephone | 6182422348 |
| Enumeration Date | 2007-01-10 |
| 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 |
|---|---|
| SEARS OPTICAL #C1080 | 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 |
| Street Address |
3917 BROADWAY ST TIMES SQUARE MALL |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742183 | Illinois Express Vision Center, Mattoon Inc | Optometrist | 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2290 | 2008-02-28 |
| 1306077995 | Douglas Heaton | Hearing Instrument Specialist | 3917 Broadway St, Mount Vernon, IL 62864-2205 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1952950875 | Mount Vernon Eye Care | Eyewear Supplier (Equipment, not the service) | 108 Gramatan Ave, Mount Vernon, NY 10550-1306 | 2019-09-04 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1922265263 | Mt. Vernon Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 109 Gramatan Ave, Mount Vernon, NY 10550-1322 | 2008-05-22 |
| 1851561575 | Dr Mark C Hurst Optometrist Ltd | Eyewear Supplier (Equipment, not the service) | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | 2008-03-10 |
| 1639347016 | Tw White Od PC | Eyewear Supplier (Equipment, not the service) | 410 W Hayward Dr, Mount Vernon, MO 65712-7368 | 2008-02-19 |
| 1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
| 1003950460 | Opticare Inc | Eyewear Supplier (Equipment, not the service) | 855 Coshocton Ave Ste 15, Mount Vernon, OH 43050-1975 | 2007-02-19 |
| 1184714321 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 2301 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-16 |
| 1568945855 | Knox Community Hospital | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050 | 2018-09-12 |
| 1083993380 | Central Ohio Eye Surgeons, Inc | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050-9233 | 2011-08-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.