PEARLE VISION #6361
NPI 1104980655
Eyewear Supplier in Champaign, IL
About Pearle Vision #6361 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARLE VISION #6361 (NPI 1104980655) is a healthcare organization registered as an eyewear supplier in Champaign, Illinois and active in the NPI registry since December 2006. The organization lists Terry Kroth, Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pearle Vision #6361 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Pearle Vision #6361, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 82Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luxottica Retail North America Inc's NPI number?
The NPI number for Luxottica Retail North America Inc is 1104980655. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Pearle Vision #6361.
Where is Luxottica Retail North America Inc located?
Luxottica Retail North America Inc is located at 2000 N Neil St Market Place Mall Ste #12, Champaign, IL 61820. The listed phone number is (217) 359-4111.
What is Luxottica Retail North America Inc's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Luxottica Retail North America Inc enrolled in Medicare?
Yes. Luxottica Retail North America Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Luxottica Retail North America Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians, all in Optometry, reassign their Medicare billing to Luxottica Retail North America Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Luxottica Retail North America Inc was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pearle Vision #6361 · NPI 1104980655
Eyewear Supplier organization in Champaign, Illinois. Organization record, active in the CMS NPPES registry since December 20, 2006.
## Identity
- **NPI:** 1104980655 (Entity type: Organization)
- **Enumerated:** December 20, 2006
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Legal business name:** Luxottica Retail North America Inc
- **Organization subpart:** No
- **Authorized official:** Terry Kroth, SPECIALIST
## Practice location
- **Address:** 2000 N NEIL ST, MARKET PLACE MALL STE #12, Champaign, IL 61820-7808
- **Phone:** (217) 359-4111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 82 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); [full list](https://npiprofile.com/npi/1104980655/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2013
- **Other identifiers:** Medicare NSC 0180151791 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1104980655) · Data from the CMS NPPES public registry.