Eyemart Express, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYEMART EXPRESS, LTD.

Practice address

721 W New Orleans St
Broken Arrow Town Centre I
Broken Arrow, OK 74011-1812

Phone

(918) 455-1992

Fax

(918) 455-1789

NPI assigned

Feb 16, 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

Chief Administrative Officer

Phone

(972) 488-2002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1740324375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HUTTON DR",
            "address_2": "SUITE 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": "721 W NEW ORLEANS ST",
            "address_2": "BROKEN ARROW TOWN CENTRE I",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111812",
            "telephone_number": "918-455-1992",
            "fax_number": "918-455-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "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": []
}

• Heath Harris Evans, DDS
• Julia Ann Evans
• Robbie Stephenie Eversole, CCC-SLP
• Excel Therapy Specialists, LLC
• Eyemart Express LLC
• Randy J Fagan, DDS
• Thomas Robert Fagan
• Ty Harrison Faglie, DPT, PT
• Julie Fain Dulin, CCC-SLP
• Nana Fajugbagbe, FNP

• Durable Medical Equipment & Medical Supplies in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.