Eyemart Express LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEMART EXPRESS LLC

Practice address

1682 S Koeller St
Oshkosh, WI 54902-6166

Phone

(920) 376-9626

Fax

(920) 376-9676

NPI assigned

Jul 21, 2023

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

EYEMART EXPRESS LLCAs reported in NPPES

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

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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 8

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

• Eyemart Express LLC

  • Eyewear Supplier
  • Janesville, WI
  • NPI 1023416005
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1265830301
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Ashwaubenon, WI
  • NPI 1306244454
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Madison, WI
  • NPI 1336547397
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Onalaska, WI
  • NPI 1467850529
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Madison, WI
  • NPI 1659779718
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Manitowoc, WI
  • NPI 1730657289
  NPD tax ID
• Eyemart Express LLC

  • Eyewear Supplier
  • Wausau, WI
  • NPI 1811732092
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Heinz, O.D.

  • Optometrist
  • Oshkosh, WI
  • NPI 1821174426
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1508546797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026166",
            "telephone_number": "920-376-9626",
            "fax_number": "920-376-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 S KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026166",
            "telephone_number": "920-376-9626",
            "fax_number": "920-376-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.