NPIMap

Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Myrtle Beach, SC
National Provider Identifier
1386092039
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
1370 South Commons Drive
Suite 102
Myrtle Beach, SC 29588
Phone
(843) 353-6751
Fax
(972) 277-3145
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

1370 South Commons Drive
Suite 102
Myrtle Beach, SC 29588

Mailing address

1370 South Commons Drive
Suite 102
Myrtle Beach, SC 29588
Phone (843) 353-6751

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 14

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

View all 14

Locations

1370 S Commons Dr
Ste 102
Myrtle Beach, SC 29588
Phone (843) 213-1201

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1386092039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 SOUTH COMMONS DRIVE",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-353-6751",
            "fax_number": "972-277-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 SOUTH COMMONS DRIVE",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-353-6751",
            "fax_number": "972-277-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "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 Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.