Eyemart Express LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEMART EXPRESS LLC

Practice address

7307 North Culture Way
Coeur D'Alene, ID 83815

Phone

(208) 956-0017

Fax

(208) 956-0018

NPI assigned

Apr 10, 2025

Last updated

Apr 10, 2025By the provider in NPPES

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

(646) 660-1993

Specialties & licenses 1

Addresses

Tax ID family

Eyemart Express LLC2 organizations share this tax ID, including this one

Part of

Eyemart Express LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eyemart Express LLC

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1427720648
  NPD tax ID

Locations

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1902691090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 NORTH CULTURE WAY",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-956-0017",
            "fax_number": "208-956-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 NORTH CULTURE WAY",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-956-0017",
            "fax_number": "208-956-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYEMART EXPRESS LLC",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Eyewear Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.