Eyemart Express LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEMART EXPRESS LLC

Practice address

2854 41St St NW
Suite 103
Rochester, MN 55901-7825

Phone

(507) 218-2636

Fax

(972) 277-3176

NPI assigned

Jul 21, 2016

Organization subpart

Yes

Parent organization

EYEMART EXPRESS LLCAs reported in NPPES

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

(212) 792-8136

Specialties & licenses 1

Addresses

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 1

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

• Eyemart Express LLC

  • Eyewear Supplier
  • Duluth, MN
  • NPI 1205234267
  NPD tax ID

Locations

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1740633031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 41ST ST NW",
            "address_2": "SUITE 103",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017825",
            "telephone_number": "507-218-2636",
            "fax_number": "972-277-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 41ST ST NW",
            "address_2": "SUITE 103",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017825",
            "telephone_number": "507-218-2636",
            "fax_number": "972-277-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "212-792-8136"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Rochester, MN
• Providers in Rochester, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.