NPIMap

Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • San Angelo, TX
National Provider Identifier
1508264441
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
4540 Sherwood Way
104
San Angelo, TX 76901-5619
Phone
(325) 947-5200
Fax
(325) 947-5277
NPI assigned
Dec 9, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Karen Pittman
Title
Director of Managed Care
Phone
(972) 488-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

4540 Sherwood Way
104
San Angelo, TX 76901-5619

Mailing address

4540 Sherwood Way
104
San Angelo, TX 76901-5619
Phone (325) 947-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150609002767 TX DME Supplier - Optician 7911228622 Practice locations: San Angelo, TX

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 24

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

View all 24

Locations

4540 Sherwood Way
#104
San Angelo, TX 76901
Phone (325) 947-5200

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1508264441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SHERWOOD WAY",
            "address_2": "104",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015619",
            "telephone_number": "325-947-5200",
            "fax_number": "325-947-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SHERWOOD WAY",
            "address_2": "104",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015619",
            "telephone_number": "325-947-5200",
            "fax_number": "325-947-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "972-488-2002"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.