LUXOTTICA RETAIL NORTH AMERICA INC. (NPI# 1811426893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811426893 |
| Entity Type | Organization |
| Organization Name | LUXOTTICA RETAIL NORTH AMERICA INC. |
| Other Organization Name | TARGET OPTICAL #9661 |
| Practice Address |
4390 Montgomery Rd Ellicott City MD 21043-6068 |
| Mailing Address |
4000 Luxottica Place Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 4102031191 |
| Mailing Telephone | 5137656000 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | PATRICIA SNOW (PAYER RELATIONS) |
| Authorized Official Telephone | 5137653818 |
| 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 #9661 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417329 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 2126 Abbott Martin Rd, Nashville, TN 37215-2690 | 2007-01-26 |
| 1013446095 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 1200 N Sepulveda Blvd, Manhattan Beach, CA 90266-5104 | 2017-06-05 |
| 1194253328 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Mason, OH 45040-8114 | 2017-06-01 |
| 1538603709 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Luxottica Pl, Attn: Medicare Department, Mason, OH 45040-8114 | 2016-12-07 |
| 1114223781 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | Ave Rafael Cordero, Plaza Centro 2 Ste #145, Caguas, PR 00725 | 2011-01-31 |
| 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 |
4390 MONTGOMERY RD |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101486 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2006-07-24 |
| 1114448024 | Charles U Nwachukwu | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-30 |
| 1336669654 | James Craig Doty | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-27 |
| 1114317914 | Jonathan Wan | Pharmacy Technician | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2015-01-31 |
| 1154726990 | Sudin Thomas | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2014-10-22 |
| 1659710168 | Darcy K. Mccarty | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-18 |
| 1700224920 | Aarthi Sathya | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-10 |
| 1497042089 | Shirin Siahpoushan | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-07-01 |
| 1669768883 | Lynne Roman | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-06-27 |
| 1881989283 | Megan Renee Copeland | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| 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 |
|---|---|---|---|---|
| 1518565613 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 44950 Worth Ave, California, MD 20619-2418 | 2020-10-12 |
| 1336747575 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1781 Ritchie Station Ct, Capitol Heights, MD 20743-5064 | 2020-10-10 |
| 1336756238 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16520 Ballpark Rd, Bowie, MD 20716-3684 | 2020-09-25 |
| 1518573682 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 | 2020-09-23 |
| 1720608573 | Optilens Vision Center | Eyewear Supplier (Equipment, not the service) | 1490 W Patapsco Ave Ste E, Baltimore, MD 21230-3400 | 2020-04-22 |
| 1366085888 | Azar Eye Optical, LLC | Eyewear Supplier (Equipment, not the service) | 31519 Winterplace Pkwy Ste 2, Salisbury, MD 21804-1894 | 2019-10-28 |
| 1295387298 | Dasod Eye Care LLC | Eyewear Supplier (Equipment, not the service) | 26772 Point Lookout Rd, Leonardtown, MD 20650-4905 | 2019-07-10 |
| 1962061523 | Bradley Sultan | Eyewear Supplier (Equipment, not the service) | 9315 Morning Walk Dr, Hagerstown, MD 21740-1485 | 2019-06-07 |
| 1447816293 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7141 Arlington Rd Ste W1, Bethesda, MD 20814-2908 | 2019-05-17 |
| 1235610346 | For Eyes Optical Inc | Eyewear Supplier (Equipment, not the service) | 10010 Reisterstown Rd, Owings Mills, MD 21117-4158 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
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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.