Active NPI
Eyemart Express LLC
Doing business as Eyemart Express
- Eyewear Supplier
- Elkhart, IN
National Provider Identifier
1760231633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EYEMART EXPRESS LLC
- Doing business as
- Eyemart Express
- Practice address
- 205 County Road 6 E Ste O
Elkhart, IN 46514-5583 - Phone
- (574) 264-2021
- Fax
- (574) 264-2027
- NPI assigned
- May 14, 2024
- Organization subpart
- Yes
- Parent organization
- EYEMART EXPRESS LLC
NPPES NPI Registry
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
- (646) 660-1993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
205 County Road 6 E Ste O
Elkhart, IN 46514-5583
Mailing address
205 County Road 6 E Ste O
Elkhart, IN 46514-5583
Phone (574) 264-2021
Other names 1
- Eyemart Express
National Provider Directory
National Provider Directory- Tax ID family
- Eyemart Express
- Part of
- Eyemart Express
Organizations with this tax ID in the same state 9
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Eyewear Supplier
- Granger, IN
- NPI 1033517966
-
- Eyewear Supplier
- Fort Wayne, IN
- NPI 1194123026
-
- Eyewear Supplier
- Columbus, IN
- NPI 1255031480
-
- Eyewear Supplier
- Fishers, IN
- NPI 1427764752
-
- Eyewear Supplier
- Evansville, IN
- NPI 1518673730
-
- Eyewear Supplier
- Elkhart, IN
- NPI 1629542600
-
- Eyewear Supplier
- Avon, IN
- NPI 1699474056
Locations
205 County Road 6 E
Ste P
Elkhart, IN 46514
Phone (574) 264-2021
205 County Road 6 E
Ste O
Elkhart, IN 46514
Phone (574) 264-2021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1760231633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COUNTY ROAD 6 E STE O",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145583",
"telephone_number": "574-264-2021",
"fax_number": "574-264-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 COUNTY ROAD 6 E STE O",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145583",
"telephone_number": "574-264-2021",
"fax_number": "574-264-2027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEMART EXPRESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
"enumeration_date": "2024-05-14",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "CARUSO",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "646-660-1993"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyemart Express",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.