Luxottica Of America INC

Eyewear Supplier (Equipment, not the service) in Woodbury, MN. Organization (NPI-2).

NPI number1871890905

StatusActive

Last updated in NPPESJul 11, 2025

Details

NPI: 1871890905
Entity type: Organization (NPI-2)
Legal business name: Luxottica Of America INC
Organization subpart: No
Enumeration date: Feb 25, 2011
Certification date: Jul 11, 2025
Last updated: Jul 11, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · DME SUPPLIER - OPTICIAN
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332H00000X	Eyewear Supplier (Equipment, not the service)	–	–	Yes

Other names

Target Optical #4130 (Doing Business As)

Practice location

449 Commerce Dr
Woodbury, MN 55125-4872

Phone 651-731-0263

Mailing address

4000 Luxottica Pl
Attn Medicare Dept
Mason, OH 45040-8114

Phone 651-731-0263

Authorized official

Sara Francescutto
Cfo
5137652155

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Eyewear Supplier providers in Woodbury, MN

All 10 Eyewear Supplier providers in Woodbury · All 3,087 providers in Woodbury

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