Eye Mart Outlet

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE MART OUTLET

Practice address

2139 N 12TH St
Suite 5
Grand Junction, CO 81501-2901

Phone

(970) 241-2020

Fax

(970) 241-7735

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Elizabeth A Wicks, ABOC

Title

Manager

Phone

(970) 241-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1942467493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-241-2020",
            "fax_number": "970-241-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-241-2020",
            "fax_number": "970-241-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MART OUTLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-241-2020",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica J Evans
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• Courtney Ewing, PTA
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• Eye-Mart Factory Outlet
• Eyemart Express LLC
• Eyemart Express LTD
• Eyes Only Vision Care LLC
• Daniel Lane Eyre, PHARMD

• Eyewear Supplier in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.