NPIMap

Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Santa Fe, NM
National Provider Identifier
1144760778
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
3811 Cerrillos Rd
Suite 103
Santa Fe, NM 87507-4112
Phone
(505) 919-7964
Fax
(972) 277-3176
NPI assigned
Mar 1, 2017
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Kim Caruso
Title
Director of Credentialing
Phone
(212) 792-8136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3811 Cerrillos Rd
Suite 103
Santa Fe, NM 87507-4112

Mailing address

3811 Cerrillos Rd
Suite 103
Santa Fe, NM 87507-4112
Phone (505) 919-7964

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1144760778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 CERRILLOS RD",
            "address_2": "SUITE 103",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074112",
            "telephone_number": "505-919-7964",
            "fax_number": "972-277-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 CERRILLOS RD",
            "address_2": "SUITE 103",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074112",
            "telephone_number": "505-919-7964",
            "fax_number": "972-277-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "212-792-8136"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.