Eyemart Express LLC
Organization Active NPI Eyewear Supplier · Colonie, NY
NPI 1760021679 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1760021679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- EYEMART EXPRESS LLC
- Practice address
- 65 Wolf Rd Ste 105
Colonie, NY 12205-2621 - Phone
- (518) 704-6580
- NPI assigned
- Dec 26, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- EYEMART EXPRESS LLC
Authorized official
- Name
- Kim Caruso
- Title
- Director of Credentialing
- Phone
- (646) 660-1993
Corporate family (same tax ID) 3
Practitioners 1
-
Bethany Pittman, OPTICIAN
National Provider Directory
- Tax ID family
- Eyemart Express
- Part of
- Eyemart Express
Locations
65 Wolf Rd
Ste 105
Colonie, NY 12205
Phone (518) 704-6580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
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
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.