Eyemart Express LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEMART EXPRESS LLC

Practice address

3400 E 2ND St
Casper, WY 82609-2278

Phone

(307) 462-0640

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By 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

Rimma Luskin

Title

Credentialing Manager

Phone

(212) 729-5300

Specialties & licenses 1

Addresses

Tax ID family

Vision4Less293 organizations share this tax ID, including this one

Part of

Vision4Less

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1578029054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092278",
            "telephone_number": "307-462-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092278",
            "telephone_number": "307-462-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "LUSKIN",
        "authorized_official_first_name": "RIMMA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "212-729-5300"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Espy
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• Ashleigh Laine Evans
• Elizabeth A Eveland, R.N.
• Eye Institute of Wyoming
• Elie Fahed, M.D.
• Tara Kim Fairbanks, CAP - 207
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• Travis Fallgren
• Family Clinic

• Eyewear Supplier in Casper, WY
• Providers in Casper, WY by specialty
• Eyewear Supplier in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.