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NPI Code Detail

MEDICARE: EYEMART EXPRESS LLC

MEDICARE: EYEMART EXPRESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1033517776
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYEMART EXPRESS LLC
Provider Business Mailing Address
First Line : 13800 SENLAC DR STE 200
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-8823
Country : US
Telephone Number : 972-488-2016
Fax Number : 469-206-5169
Provider Business Practice Location Address
First Line : 13800 SENLAC DR
Second Line : SUITE 200
City : FARMERS BRANCH
State : TX
Zip : 75234-8838
Country : US
Telephone Number : 972-488-2016
Fax Number : 469-206-5169
Authorized Official
Title or Position : DIRECTOR OF CREDENTIALING
Name : KIM CARUSO
Credential :
Telephone Number : 646-660-1993
Provider Enumeration Date : 12/11/2014
Last Update Date : 03/20/2026

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Directions to “EYEMART EXPRESS LLC ” Practice Location

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