EYEMART EXPRESS LLC (NPI# 1649678616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649678616 |
| Entity Type | Organization |
| Organization Name | EYEMART EXPRESS LLC |
| Practice Address |
1740 Delta Waters Rd Suite 100 Medford OR 97504-9175 |
| Practice Telephone | 5417728911 |
| Practice Fax Number | 5412452581 |
| Mailing Telephone | 5417728911 |
| Mailing Fax Number | 5412452581 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| 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 |
1740 DELTA WATERS RD SUITE 100 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-9175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164589230 | Steven Paul Mullins | Optometrist | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2007-01-02 |
| 1487893897 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1629287032 | South Jersey Eye Physicians Pa | Eyewear Supplier (Equipment, not the service) | 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 | 2007-05-22 |
| 1316091341 | Usv Optical Inc.. | Eyewear Supplier (Equipment, not the service) | 909 The Fellsway, Medford, MA 02155-4151 | 2007-01-23 |
| 1841356151 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 501 Medford Ctr, Medford S/c, Medford, OR 97504-6004 | 2006-12-29 |
| 1922183557 | Budd Optical | Eyewear Supplier (Equipment, not the service) | 175 Route 70 Ste 23, Medford, NJ 08055-2355 | 2006-10-25 |
| 1720170756 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1600 North Riverside Avenue, Medford, OR 97501 | 2006-09-28 |
| 1508804550 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-03 |
| 1093321747 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 278 Middlesex Ave, Medford, MA 02155-5066 | 2020-09-18 |
| 1982879292 | Medical Eye Center Optical Inc | Eyewear Supplier (Equipment, not the service) | 815 E Main St, Medford, OR 97504-7133 | 2008-04-28 |
| 1396955001 | Jason M. Gilbert Mdpc | Eyewear Supplier (Equipment, not the service) | 101 Main Street, Suite 208, Medford, MA 02155 | 2007-05-23 |
| 1588724520 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | 2006-12-11 |
| Find all providers in MEDFORD | ||||
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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.