PEARLE VISION #C6863
NPI 1740345891
Eyewear Supplier in Fort Wayne, IN

Active since December 27, 2006
4201 COLDWATER RD, GLENBROOK MALL STE #N7A, FORT WAYNE, IN 46805(260) 483-9568 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pearle Vision #c6863 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARLE VISION #C6863 (NPI 1740345891) is a healthcare organization registered as an eyewear supplier in Fort Wayne, Indiana and active in the NPI registry since December 2006. The organization lists Terry Kroth, Specialist, as its authorized official.

NPPES Registry Identity

NPI1740345891
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLUXOTTICA RETAIL NORTH AMERICA INC
Location Address4201 COLDWATER RD, GLENBROOK MALL STE #N7AFort Wayne, IN 46805-1113
Mailing Address4000 Luxottica Pl, Attn Medicare DeptMason, OH 45040-8114 · (260) 483-9568
Organization SubpartNo
Authorized OfficialTerry KrothSpecialist · (513) 765-3060
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 10, 2013
NPI 1740345891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

4201 COLDWATER RD, Fort Wayne, IN 46805

Other Names 1

Doing Business AsPearle Vision #c6863

Other Identifiers 1

Medicare NSC0180152346IN

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Lenscrafters #113 carries, from the Medicare DMEPOS supplier directory.

Lenscrafters #113

DMEPOS supplier · Fort Wayne, INOperated by Luxottica Of America Inc

Does not accept Medicare assignment

Lenscrafters #113 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20542679
Medicare Participant SinceMarch 31, 2010
Supplier Location4201 Coldwater RdFort Wayne, IN 46805
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4201 COLDWATER RD
FORT WAYNE, IN 46805
Optometrist
4201 COLDWATER RD, C/O LENSCRAFTERS
FORT WAYNE, IN 46805
Optometrist
4201 COLDWATER RD
FORT WAYNE, IN 46805
Eyewear Supplier
4201 COLDWATER RD, GLENBROOK CTR
FT WAYNE, IN 46805
Durable Medical Equipment & Medical Supplies
4201 COLDWATER RD, SPACE M-5 GLENBROOK SQUARE MALL
FORT WAYNE, IN 46805
Optometrist
4201 COLDWATER RD
FORT WAYNE, IN 46805
Optometrist
4201 COLDWATER RD
FORT WAYNE, IN 46805
Optometrist (Corneal and Contact Management)
4201 COLDWATER RD
FORT WAYNE, IN 46805

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 1740345891. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Pearle Vision #c6863.

Where is Luxottica Retail North America Inc located?

Luxottica Retail North America Inc is located at 4201 Coldwater Rd Glenbrook Mall Ste #n7a, Fort Wayne, IN 46805. The listed phone number is (260) 483-9568.

What is Luxottica Retail North America Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Luxottica Retail North America Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Lenscrafters #113 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Luxottica Retail North America Inc was last updated on July 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.