SEARS OPTICAL #C1152
NPI 1073663290
Eyewear Supplier in West Jordan, UT

Active since January 11, 2007
7453 PLAZA CENTER DR, WEST JORDAN, UT 84084(801) 282-1261 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About SEARS OPTICAL #C1152

This page provides the complete NPI Profile along with additional information for Sears Optical #c1152, a provider established in West Jordan, Utah operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1073663290 assigned on January 2007. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Sears Optical #c1152. The authorized official of this NPI record is Mr. Terry Kroth (Specialist)

NPI
1073663290 Verify this NPI
Provider Legal Name
LUXOTTICA RETAIL NORTH AMERICA INC
Other Organization Name
SEARS OPTICAL #C1152
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7453 PLAZA CENTER DR WEST JORDAN, UT 84084
Location Phone
(801) 282-1261
Mailing Address
4000 LUXOTTICA PL ATTN MEDICARE DEPT MASON, OH 45040
Mailing Phone
(801) 282-1261
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2007
Last Update Date
07-18-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TERRY KROTH

Authorized Official Title
SPECIALIST
Authorized Official Phone
(513) 765-3060

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0180152184MEDICARE NSC (07)UT 

Reviews for SEARS OPTICAL #C1152

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073663290, enumerated as an "organization" on January 11, 2007.

The provider is located at 7453 PLAZA CENTER DR WEST JORDAN, UT 84084 and the phone number is (801) 282-1261.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.