Organization Active NPI

Eyemart Express LLC

  • Eyewear Supplier
  • Colonie, NY
National Provider Identifier
1760021679
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEMART EXPRESS LLC
Practice address
65 Wolf Rd Ste 105
Colonie, NY 12205-2621
Phone
(518) 704-6580
Fax
(518) 459-2106
NPI assigned
Dec 26, 2019
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EYEMART EXPRESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Terri Nesrsta
Title
Director of Managed Care Strategy
Phone
(972) 277-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

65 Wolf Rd Ste 105
Colonie, NY 12205-2621

Mailing address

65 Wolf Rd Ste 105
Colonie, NY 12205-2621
Phone (518) 704-6580

National Provider Directory

National Provider Directory
Tax ID family
Eyemart Express293 organizations share this tax ID, including this one
Part of
Eyemart Express

Organizations with this tax ID in the same state 3

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

Locations

65 Wolf Rd
Ste 105
Colonie, NY 12205
Phone (518) 704-6580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1760021679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WOLF RD STE 105",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122052621",
            "telephone_number": "518-704-6580",
            "fax_number": "518-459-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WOLF RD STE 105",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122052621",
            "telephone_number": "518-704-6580",
            "fax_number": "518-459-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2019-12-26",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "NESRSTA",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE STRATEGY",
        "authorized_official_telephone_number": "972-277-3057"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.