Eyemart Express LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYEMART EXPRESS LTD

Practice address

4540 Sherwood Way
Ste 104
San Angelo, TX 76901

Phone

(325) 947-5200

Fax

(325) 947-5277

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mary Jo Samuelson

Title

C.a.O.

Phone

(972) 488-2002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679614549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HUTTON DR",
            "address_2": "STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066800",
            "telephone_number": "972-488-2002",
            "fax_number": "972-488-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SHERWOOD WAY",
            "address_2": "STE 104",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-947-5200",
            "fax_number": "325-947-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "C.A.O.",
        "authorized_official_telephone_number": "972-488-2002"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne G Estrada, AGACNP-BC
• Rosa Linda Estrada, LVN
• Presley Joyce Eubank
• Teeanna Evans
• Eyemart Express LLC
• Eyemasters of Texas, LTD.
• Casey Faichtinger, DO
• Douglas Fambro, RCIS
• Family Hospice, LTD.
• Family Planning of San Angelo, Inc

• Durable Medical Equipment & Medical Supplies in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.