EYEMART EXPRESS LLC (NPI# 1194123026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194123026 |
| Entity Type | Organization |
| Organization Name | EYEMART EXPRESS LLC |
| Practice Address |
515 E Coliseum Blvd Fort Wayne IN 46805-1215 |
| Practice Telephone | 2603731903 |
| Practice Fax Number | 2603731843 |
| Mailing Telephone | 2603731903 |
| Mailing Fax Number | 2603731843 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 9724882002 |
| Is Organization Subpart | Y |
| Parent Organization Name | EYEMART EXPRESS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1184225781 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 44 College Rd Ste B, Fairbanks, AK 99701-1706 | 2020-11-02 |
| 1184224651 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7378 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2020-10-26 |
| 1093326514 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4010 Durham Chapel Hill Blvd Ste 400, Durham, NC 27707-2425 | 2020-08-10 |
| 1053935882 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15 S River Rd # 150, St George, UT 84790-2106 | 2020-06-08 |
| 1346875028 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3916 E Franklin Blvd Ste 160, Gastonia, NC 28056-9220 | 2020-03-03 |
| 1477185833 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8124 Transit Rd, Williamsville, NY 14221-2806 | 2020-02-04 |
| 1760021679 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 65 Wolf Rd Ste 105, Colonie, NY 12205-2621 | 2019-12-26 |
| 1811539406 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2427 Cross Pointe Dr, Rock Hill, SC 29730-8267 | 2019-10-15 |
| 1922640515 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2703 W Deyoung St Ste A, Marion, IL 62959-4941 | 2019-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EYEMART EXPRESS LLC | C/O Eyemart Express Ltd, 13800 Senlac Drive Suite 200, Farmers Branch, TX 75234 |
| Colorado Business Entities | Eyemart Express LLC | C/O Eyemart Express, Ltd., 13800 Senlac Drive,Suite 200, Farmers Branch, TX 75234 |
| Iowa Business Entities | EYEMART EXPRESS LLC | Co Eyemart Express Ltd., 13800 Senlac Drive Suite 200, Farmers Branch, TX 75234 |
| Washington State Corporations | EYEMART EXPRESS LLC | C/o Eyemart Express, Ltd., 13800 Senlac Drive Suite 200, Farmers Branch, TX 75234 |
| New York State Corporations | EYEMART EXPRESS LLC | 28 Liberty St., New York, New York 10005 |
| North Carolina Corporations | Eyemart Express LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Alabama Business Registrations | EYEMART EXPRESS LLC | 13800 Senlac Drive Ste 200, Farmers Branch, TX 75324 |
| Virginia Business Entities | Eyemart Express LLC | 13800 Senlac Dr Ste 200, Farmers Branch, Texas 75234 |
| Street Address |
515 E COLISEUM BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494143 | Fort Wayne Vision Associates Ltd | Optometrist | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1881927317 | Longe Optical-north Inc | Eyewear Supplier (Equipment, not the service) | 4534 Maplecrest Rd, Fort Wayne, IN 46835-3970 | 2009-09-16 |
| 1700932415 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 333 East Coliseum Boulevard, Fort Wayne, IN 46805 | 2007-01-26 |
| 1770667917 | Longe Optical | Eyewear Supplier (Equipment, not the service) | 7625 Southtown Crossing, Fort Wayne, IN 46816-2506 | 2006-10-24 |
| 1649293903 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4201 Coldwater Road, Fort Wayne, IN 46805 | 2006-07-26 |
| 1205822145 | Tri-state Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 5233 Coldwater Rd, Fort Wayne, IN 46825-5538 | 2005-09-26 |
| 1013903962 | Tristate Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204 | 2005-09-26 |
| 1528584562 | Eyecare Express | Eyewear Supplier (Equipment, not the service) | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2017-08-22 |
| 1477944510 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2015-02-11 |
| 1013255884 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6309 Lima Rd, Fort Wayne, IN 46818-1425 | 2013-01-29 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on EYEMART EXPRESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.