P Praxis·MD
● Active Type 2 · Organization

Luxottica Retail North America Inc

Eyewear Supplier·Idaho Falls, ID· NPI 1487702981 · Enumerated 2007 · 19 years on NPI
Luxottica Retail North America Inc is 1 of 74 eyewear supplier organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-08
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kroth
Specialist
Last NPPES update
2013-07-17
Source: monthly bulk 2026-05

How this organization compares

Across 74 active eyewear supplier providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2300 E17th St, Grand Teton Mall
Idaho Falls, ID 834046504
📞 2085258964
Mailing address
4000 Luxottica Pl, Attn Medicare Dept
Mason, OH 450408114
📞 2085258964

Authorized official

Terry Kroth
Specialist
📞 5137653060

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • SEARS OPTICAL #C0761
    Type code 3 recorded 2009-08-05

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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