NPIMap

Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Broken Arrow, OK
National Provider Identifier
1649677022
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
1122 N 9TH St
Broken Arrow, OK 74012-2388
Phone
(918) 455-1992
Fax
(918) 455-1789
NPI assigned
Dec 1, 2014
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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
(646) 660-1993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1122 N 9TH St
Broken Arrow, OK 74012-2388

Mailing address

1122 N 9TH St
Broken Arrow, OK 74012-2388
Phone (918) 455-1992

National Provider Directory

National Provider Directory
Tax ID family
Eyemart Express292 organizations share this tax ID, including this one
Part of
Eyemart Express

Organizations with this tax ID in the same state 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1649677022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N 9TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122388",
            "telephone_number": "918-455-1992",
            "fax_number": "918-455-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N 9TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122388",
            "telephone_number": "918-455-1992",
            "fax_number": "918-455-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2014-12-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "646-660-1993"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.