PEARLE VISION #C6376
NPI 1962566364
Eyewear Supplier in Columbia, MO

Active since December 20, 2006
2300 BURNADETTE DR, COLUMBIA MALL #804, COLUMBIA, MO 65203(573) 445-1766 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pearle Vision #c6376 NPPES

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

PEARLE VISION #C6376 (NPI 1962566364) is a healthcare organization registered as an eyewear supplier in Columbia, Missouri and active in the NPI registry since December 2006. The organization lists Terry Kroth, Specialist, as its authorized official.

NPPES Registry Identity

NPI1962566364
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLUXOTTICA RETAIL NORTH AMERICA INC
Location Address2300 BURNADETTE DR, COLUMBIA MALL #804Columbia, MO 65203-4607
Mailing Address4000 Luxottica Pl, Attn Medicare DeptMason, OH 45040-8114 · (573) 445-1766
Organization SubpartNo
Authorized OfficialTerry KrothSpecialist · (513) 765-3060
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 10, 2013
✔ NPI 1962566364 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.
2300 BURNADETTE DR, Columbia, MO 65203

Other Names 1

Doing Business AsPearle Vision #c6376

Other Identifiers 1

Medicare NSC0180152324MO

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 #c6376 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Pearle Vision #c6376, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (13)

Optometry
NPI 1285794396
1400 S LIMIT AVE SPACE 75 STATE FAIR SHOPPING CENTER
Sedalia, MO 65301
(660) 827-3140
✔ PECOS51 mi
Optometry
NPI 1720207178
569 MID RIVERS MALL DR
Saint Peters, MO 63376
(636) 970-2020
✔ PECOS95 mi
Optometry
NPI 1033647425
3821 VETERANS MEMORIAL PKWY
O Fallon, MO 63376
(636) 928-1111
✔ PECOS99 mi
Optometry
NPI 1093896185
285 CHESTERFIELD MALL
Chesterfield, MO 63017
(636) 537-0402
✔ PECOS100 mi
Optometry
NPI 1770619660
2086 INDEPENDENCE CENTER DR
Independence, MO 64057
(816) 795-7774
✔ PECOS107 mi
Optometry
NPI 1083643753
102A W COUNTY CTR
Des Peres, MO 63131
(314) 966-6593
✔ PECOS107 mi
Optometry
NPI 1962444760
1350 DOUGHERTY FERRY RD
Saint Louis, MO 63122
(636) 825-2625
✔ PECOS108 mi
Optometry
NPI 1588758098
2943 ST. LOUIS GALLERIA
St. Louis, MO 63117
(314) 862-1525
✔ PECOS✔ Accepts Medicare112 mi
Optometry
NPI 1083096523
122 S COUNTY CENTER WAY
Saint Louis, MO 63129
(314) 416-7588
✔ PECOS115 mi
Optometry
NPI 1821760422
122 S COUNTY CENTER WAY STE A
Saint Louis, MO 63129
(314) 416-7588
✔ PECOS115 mi
Optometry
NPI 1972765584
4901 FOREST PARK AVE 6TH FL
Saint Louis, MO 63108
(314) 362-3937
✔ PECOS116 mi
Optometry
NPI 1700754660
219 NICHOLS ROAD
Kansas City, MO 64112
(816) 490-4048
✔ PECOS119 mi
Optometry
NPI 1386319705
619 10TH ST
Fort Madison, IA 52627
(319) 372-5181
✔ PECOS128 mi

Source: 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 1962566364. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Pearle Vision #c6376.

Where is Luxottica Retail North America Inc located?

Luxottica Retail North America Inc is located at 2300 Burnadette Dr Columbia Mall #804, Columbia, MO 65203. The listed phone number is (573) 445-1766.

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), 13 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 July 10, 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.