NPIMap

Organization Active NPI

Eyemart Express LLC

Doing business as Eyemart Express

  • Eyewear Supplier
  • South Bend, IN
National Provider Identifier
1639928500
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Doing business as
Eyemart Express
Practice address
1290 E Ireland Rd
South Bend, IN 46614-3474
Phone
(574) 291-1100
Fax
(574) 291-1185
NPI assigned
May 14, 2024
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1290 E Ireland Rd
South Bend, IN 46614-3474

Mailing address

1290 E Ireland Rd
South Bend, IN 46614-3474
Phone (574) 291-1100

Other names 1

  • Eyemart Express Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vision4Less293 organizations share this tax ID, including this one
Part of
Vision4Less

Organizations with this tax ID in the same state 9

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

Locations

1290 E Ireland Rd
South Bend, IN 46614
Phone (574) 291-1100

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1639928500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143474",
            "telephone_number": "574-291-1100",
            "fax_number": "574-291-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143474",
            "telephone_number": "574-291-1100",
            "fax_number": "574-291-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "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": [
        {
            "organization_name": "Eyemart Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.