EYEMART EXPRESS LLC (NPI# 1659779718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659779718 |
| Entity Type | Organization |
| Organization Name | EYEMART EXPRESS LLC |
| Practice Address |
6658 Odana Rd Madison WI 53719-1012 |
| Practice Telephone | 6088291818 |
| Practice Fax Number | 6088291008 |
| Mailing Telephone | 6088291818 |
| Mailing Fax Number | 6088291008 |
| 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 |
6658 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184767451 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 6658 Odana Rd, Market Square Shopping Center, Madison, WI 53719-1012 | 2007-02-15 |
| 1285048322 | Lance Engdahl Eye Care S.c. | Optometrist | 6658 Odana Rd, Madison, WI 53719-1012 | 2014-06-17 |
| 1144518127 | Danielle R Seddio | Optometrist | 6658 Odana Rd, Madison, WI 53719-1012 | 2011-07-12 |
| 1912126202 | Deanne Kay Funkhouser | Optometrist | 6658 Odana Rd, Madison, WI 53719-1012 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1871159251 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3868 E Washington Ave Ste F, Madison, WI 53704-3600 | 2019-05-11 |
| 1245785948 | Wisconsin Council of The Blind and Visually Impaired, Inc | Eyewear Supplier (Equipment, not the service) | 754 Williamson St, Madison, WI 53703-3546 | 2016-08-23 |
| 1639573264 | Moore Vision Center, Pllc | Eyewear Supplier (Equipment, not the service) | 467 Main St Ste 401, Madison, WV 25130-2200 | 2014-10-10 |
| 1073785796 | The Eyeglass Shoppe of Madison, Inc. | Eyewear Supplier (Equipment, not the service) | 26 Waverly Pl, Madison, NJ 07940-1807 | 2008-04-02 |
| 1457520553 | Donch and Baker, O.d. Eye Doctors of Madison, LLC | Eyewear Supplier (Equipment, not the service) | 103 N Lake St, Madison, OH 44057-3115 | 2008-02-22 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1003941188 | Eyecare Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 7880 Madison Pike, Madison, AL 35758-1435 | 2007-02-22 |
| 1427102441 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 29 E Towne Mall, Madison, WI 53704-3711 | 2007-01-23 |
| 1538213848 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 W Towne Mall # C59, Madison, WI 53719 | 2007-01-23 |
| Find all providers in MADISON | ||||
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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.