EYE MART EXPRESS LLC (NPI# 1821496779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821496779 |
| Entity Type | Organization |
| Organization Name | EYE MART EXPRESS LLC |
| Practice Address |
3604 Witherspoon Blvd Suite 107 Durham NC 27707-6850 |
| Practice Telephone | 9193283825 |
| Practice Fax Number | 9193283288 |
| Mailing Telephone | 9193283825 |
| Mailing Fax Number | 9193283288 |
| 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 | EYE MART 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 |
|---|---|---|---|---|
| 1720486673 | Eye Mart Express LLC | Eyewear Supplier (Equipment, not the service) | 3050 E Lohman Ave, Suite F, Las Cruces, NM 88011-8256 | 2014-12-09 |
| 1932507894 | Eye Mart Express LLC | Eyewear Supplier (Equipment, not the service) | 1525 10th Ave S, Great Falls, MT 59405-2608 | 2014-12-09 |
| Street Address |
3604 WITHERSPOON BLVD SUITE 107 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164667036 | Anfo Children and Adult Services | Community Based Residential Treatment Facility, Mental Illness | 3604 Witherspoon Blvd, Suite 111, Pmb 233, Durham, NC 27707-6850 | 2008-12-08 |
| 1730590993 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 3604 Witherspoon Blvd, Space #103, Durham, NC 27707-6850 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1093326514 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4010 Durham Chapel Hill Blvd Ste 400, Durham, NC 27707-2425 | 2020-08-10 |
| 1275688178 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6910 Fayetteville Rd, Streets At Southpoint Ste #296, Durham, NC 27713-9714 | 2007-01-24 |
| 1215080114 | Upchurch Optical | Eyewear Supplier (Equipment, not the service) | 5108 N Roxboro Rd, Durham, NC 27704-1420 | 2007-01-22 |
| 1750433215 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4037 Chapel Hill Blvd, Durham, NC 27707-2516 | 2007-01-17 |
| 1669537676 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1620 Guess Rd, Northgate S/c, Durham, NC 27701-1130 | 2006-12-27 |
| 1164818167 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1510 N Pointe Dr, Durham, NC 27705-3405 | 2015-04-07 |
| 1922401181 | Myeyedr Optometry of North Carolina, Pllc | Eyewear Supplier (Equipment, not the service) | 2351 Erwin Rd, Durham, NC 27705-4699 | 2014-10-02 |
| 1730590993 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 3604 Witherspoon Blvd, Space #103, Durham, NC 27707-6850 | 2014-05-09 |
| 1770892911 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 1620 Guess Rd, Northgate S/c, Durham, NC 27701-1130 | 2010-10-06 |
| 1518010867 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2007-01-19 |
| Find all providers in DURHAM | ||||
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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.