EYE-MART FACTORY OUTLET (NPI# 1215112776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215112776 |
| Entity Type | Organization |
| Organization Name | EYE-MART FACTORY OUTLET |
| Practice Address |
2139 N 12th St Unit 5 Grand Junction CO 81501-2901 |
| Practice Telephone | 9702412020 |
| Practice Fax Number | 9702417735 |
| Mailing Telephone | 9702412020 |
| Mailing Fax Number | 9702417735 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MS. LIZ ANNE WICKS (MANAGER) |
| Authorized Official Telephone | 9702412884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COTP125233A | 05 |
| Street Address |
2139 N 12TH ST UNIT 5 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421135 | Paula L. King | Psychologist | 2139 N 12th St, Suite 7, Grand Junction, CO 81501-2901 | 2005-10-13 |
| 1295166072 | Jennifer Stroh Do Family Medicine | Clinic/Center | 2139 N 12th St, Suite 2, Grand Junction, CO 81501-2901 | 2013-12-04 |
| 1285066928 | Michelle Lynn Davis | Physical Therapy Assistant | 2139 N 12th St, Suite 3, Grand Junction, CO 81501-2901 | 2013-08-05 |
| 1992051932 | Paula L King Phd LLC | Psychologist | 2139 N 12th St, Ste 7, Grand Junction, CO 81501-2901 | 2012-07-27 |
| 1942467493 | Eye Mart Outlet | Eyewear Supplier (Equipment, not the service) | 2139 N 12th St, Suite 5, Grand Junction, CO 81501-2901 | 2008-05-21 |
| 1144405739 | Agape Family Practice, P.C. | Family Medicine | 2139 N 12th St, Unit 4, Grand Junction, CO 81501-2901 | 2008-01-02 |
| 1417139098 | Katy Rieves, Inc. | Family Medicine | 2139 N 12th St, Suite 2, Grand Junction, CO 81501-2901 | 2007-12-05 |
| 1912014879 | Jennifer Jean Stroh | Family Medicine | 2139 N 12th St, Suite 2, Grand Junction, CO 81501-2901 | 2006-08-24 |
| 1720005564 | Carolyn Sue Gochee | Chiropractor | 2139 N 12th St, Grand Junction, CO 81501-2901 | 2006-07-17 |
| 1518911320 | Avis Severance | Family Medicine | 2139 N 12th St, Unit 4, Grand Junction, CO 81501-2910 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1184022865 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2504 Hwy 6 and 50, Suite 200, Grand Junction, CO 81505-7170 | 2014-12-12 |
| 1316370158 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 2504 Hwy 6 and 50 Ste 200, Riverside Crossing, Grand Junction, CO 81505-7170 | 2013-08-15 |
| 1821313149 | Grey Eye Care PC | Eyewear Supplier (Equipment, not the service) | 1120 Wellington Ave Ste 107, Grand Junction, CO 81501-6130 | 2010-03-30 |
| 1447309760 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2424 Us Hwy 6 & 50, Mesa Mall, Grand Junction, CO 81505 | 2007-01-09 |
| 1326083130 | Sowash Optometry Group P C | Eyewear Supplier (Equipment, not the service) | 2424 Highway 6 and 50, Space 306, Grand Junction, CO 81505-1109 | 2006-06-17 |
| 1134503352 | The Optical Center, Inc | Eyewear Supplier (Equipment, not the service) | 1316 North Ave, Grand Junction, CO 81501-6419 | 2015-07-17 |
| 1154687515 | Monumental Views Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1190 Bookcliff Ave, Suite 102, Grand Junction, CO 81501-8133 | 2012-04-10 |
| 1801195961 | Fairmount Eye Care, LLC | Eyewear Supplier (Equipment, not the service) | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2011-03-15 |
| 1942467493 | Eye Mart Outlet | Eyewear Supplier (Equipment, not the service) | 2139 N 12th St, Suite 5, Grand Junction, CO 81501-2901 | 2008-05-21 |
| 1508994641 | Western Rockies Eye Center,p.c. | Eyewear Supplier (Equipment, not the service) | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2007-03-01 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on EYE-MART FACTORY OUTLET.
| 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.