EYEMART EXPRESS LLC (NPI# 1538567680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538567680 |
| Entity Type | Organization |
| Organization Name | EYEMART EXPRESS LLC |
| Practice Address |
4302 13th Ave S Ste. 6 Fargo ND 58103-3395 |
| Practice Telephone | 7012828007 |
| Practice Fax Number | 7012824973 |
| Mailing Telephone | 7012828007 |
| Mailing Fax Number | 7012824973 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| 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 |
4302 13TH AVE S STE. 6 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235326398 | Dr. L.r. Masciarelli & Associates Optometry | Optometrist | 4302 13th Ave S, Fargo, ND 58103-3395 | 2007-10-02 |
| 1366892796 | Danny Rai | Dentist | 4302 13th Ave S, Suite 10, Fargo, ND 58103-3395 | 2016-06-16 |
| 1619355484 | Fargo Moorhead Dental & Dentures P C | Dentist | 4302 13th Ave S, Suite 10, Fargo, ND 58103-3395 | 2015-05-13 |
| 1992948590 | Weaver Family Dentisty Pa | Dentist | 4302 13th Ave S, Fargo, ND 58103-3395 | 2009-04-13 |
| 1811149065 | Allcare Dental & Dentures of Nd PC | Dentist | 4302 13th Ave S, Fargo, ND 58103-3395 | 2008-10-21 |
| 1770744690 | Tanya Bonicelli | Dentist | 4302 13th Ave S, Fargo, ND 58103-3395 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1215351440 | Doug's Optical, Inc | Eyewear Supplier (Equipment, not the service) | 1547 University Dr S, Fargo, ND 58103-4156 | 2014-02-07 |
| 1114250834 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3757 55th Ave So, Fargo, ND 58104 | 2009-09-14 |
| 1083738835 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 1404 33rd St S, Suite K, Fargo, ND 58103-3482 | 2007-03-19 |
| 1679619464 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 100 South 4th Street, Fargo, ND 58103 | 2007-01-29 |
| 1245301852 | Mrg Inc | Eyewear Supplier (Equipment, not the service) | 2810 North Broadway, Fargo, ND 58102-1420 | 2006-11-13 |
| 1770668329 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | Interstate 29 & 13th Avenue S, Fargo, ND 58103 | 2006-10-25 |
| 1174539498 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 3902 13th Ave S # I-29, Fargo, ND 58103-3357 | 2006-07-31 |
| 1316224934 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3902 13th Ave S, Ste. 406, Fargo, ND 58103-3357 | 2011-11-10 |
| 1891075198 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-08-18 |
| 1700166006 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2011-08-18 |
| Find all providers in FARGO | ||||
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| 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.