EYEMART EXPRESS LLC (NPI# 1770981664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770981664 |
| Entity Type | Organization |
| Organization Name | EYEMART EXPRESS LLC |
| Practice Address |
11 Bangor Mall Blvd Suite H Bangor ME 04401-3650 |
| Practice Telephone | 2079472442 |
| Practice Fax Number | 9079472432 |
| Mailing Telephone | 2079472442 |
| Mailing Fax Number | 9079472432 |
| 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 |
11 BANGOR MALL BLVD SUITE H |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376831313 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 11 Bangor Mall Blvd, Unit H, Bangor, ME 04401-3650 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1376831313 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 11 Bangor Mall Blvd, Unit H, Bangor, ME 04401-3650 | 2011-07-12 |
| 1376791590 | State Street Optics | Eyewear Supplier (Equipment, not the service) | 207 State St, Bangor, ME 04401-5412 | 2008-08-29 |
| 1124299219 | Paul R. Moulton, M.d. | Eyewear Supplier (Equipment, not the service) | 5 Grove Street, Bangor, ME 04401-5394 | 2008-03-17 |
| 1275547010 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 693 Stillwater Ave, Bangor, ME 04401-3606 | 2006-07-28 |
| 1740803006 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013-1513 | 2020-05-21 |
| 1760727358 | Mainely Eyes | Eyewear Supplier (Equipment, not the service) | 663 Stillwater Ave, Bangor, ME 04401-3645 | 2012-12-07 |
| 1205998689 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 663 Stillwater Ave, Bangor, ME 04401-3680 | 2006-12-14 |
| 1811066079 | Smart Vision, LLC | Eyewear Supplier (Equipment, not the service) | 824 Stillwater Ave, Bangor, ME 04401-3614 | 2006-11-06 |
| Find all providers in BANGOR | ||||
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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.