Eyemart Express, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYEMART EXPRESS, LTD.

Practice address

3800 State Road 16
Valley View Mall, Suite 146
La Crosse, WI 54601-1826

Phone

(608) 781-8866

Fax

(608) 781-8887

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mary Jo Samuelson

Title

Chief Administrarive Officer

Phone

(972) 488-2002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Allen Stoffregen, O.D.

  • Optometrist
  • La Crosse, WI
  • NPI 1063597011
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992848279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HUTTON DR",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066800",
            "telephone_number": "972-488-2002",
            "fax_number": "972-488-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STATE ROAD 16",
            "address_2": "VALLEY VIEW MALL, SUITE 146",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011826",
            "telephone_number": "608-781-8866",
            "fax_number": "608-781-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART EXPRESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "CHIEF ADMINISTRARIVE OFFICER",
        "authorized_official_telephone_number": "972-488-2002"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Evers, ADN
• Reid Evers, DDS
• Arlyce O Everson, RN, CCM, NCTMB
• Evolve Mental Health Solutions, LLC
• Moriah Ewing
• Kennedy Fabian, COTA/L
• Leah N Fagan
• Debra J Fahey, APNP
• Madelyn Rose Fahhoum, MD
• Walter J Faillace, MD

• Durable Medical Equipment & Medical Supplies in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.