Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Dubuque, IA
National Provider Identifier
1699173658
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
3432 Dodge St
Suite 108
Dubuque, IA 52003-5277
Phone
(563) 583-4655
Fax
(563) 583-4655
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Karen Pittman
Title
Director of Managed Care
Phone
(972) 488-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3432 Dodge St
Suite 108
Dubuque, IA 52003-5277

Mailing address

3432 Dodge St
Suite 108
Dubuque, IA 52003-5277
Phone (563) 583-4655

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 17

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

View all 17

Locations

3432 Dodge St
Ste 108
Dubuque, IA 52003
Phone (563) 583-4655

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1699173658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 DODGE ST",
            "address_2": "SUITE 108",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035277",
            "telephone_number": "563-583-4655",
            "fax_number": "563-583-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 DODGE ST",
            "address_2": "SUITE 108",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035277",
            "telephone_number": "563-583-4655",
            "fax_number": "563-583-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "972-488-2002"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.