Eyecare Express

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE EXPRESS

Practice address

4826 Illinois Rd
Fort Wayne, IN 46804-1166

Phone

(260) 434-2021

Fax

(260) 459-6331

NPI assigned

Aug 24, 2017

Organization subpart

Yes

Parent organization

EYECARE EXPRESSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Shawnda Taylor

Title

Optician/Doctor Tech

Phone

(260) 482-2020

Specialties & licenses 1

Addresses

Part of

Eyecare Express

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eyecare Express

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1528584562
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043737737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041166",
            "telephone_number": "260-434-2021",
            "fax_number": "260-459-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041166",
            "telephone_number": "260-434-2021",
            "fax_number": "260-459-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE EXPRESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYECARE EXPRESS",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAWNDA",
        "authorized_official_title_or_position": "OPTICIAN/DOCTOR TECH",
        "authorized_official_telephone_number": "260-482-2020",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everyday Counseling & Services LLC
• Raven Ewing, RBT
• Extended Care Specialists, Inc
• Eye Associates Group, LLC
• Eye Center Group LLC (Fort Wayne Eye Center)
• Eyecare Express
• Eyemart Express LLC
• Eyemart Express, LTD.
• Ez Medical Supplies LLC
• Osita Victor Ezeakudo, M.D.

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.