NPIMap

Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Moline, IL
National Provider Identifier
1063810109
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
4429 16TH St
Moline, IL 61265-7011
Phone
(309) 762-6278
Fax
(309) 762-6344
NPI assigned
Dec 5, 2014
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Terri Nesrsta
Title
Director of Managed Care Strategy
Phone
(972) 277-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

4429 16TH St
Moline, IL 61265-7011

Mailing address

4429 16TH St
Moline, IL 61265-7011
Phone (309) 762-6278

National Provider Directory

National Provider Directory
Tax ID family
Eyemart Express293 organizations share this tax ID, including this one
Part of
Eyemart Express

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4703 16th St
Moline, IL 61265
Phone (309) 743-2324

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1063810109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011",
            "telephone_number": "309-762-6278",
            "fax_number": "309-762-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011",
            "telephone_number": "309-762-6278",
            "fax_number": "309-762-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2014-12-05",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "NESRSTA",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE STRATEGY",
        "authorized_official_telephone_number": "972-277-3057"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.