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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1588036479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEMART EXPRESS LLC

Provider Business Mailing Address
First Line	:	600 JEFFERSON RD STE 300
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3277
Country	:	US
Telephone Number	:	585-358-4117
Fax Number	:	972-277-3176

Provider Business Practice Location Address
First Line	:	600 JEFFERSON RD STE 300
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3277
Country	:	US
Telephone Number	:	585-358-4117
Fax Number	:	972-277-3176

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	SKYE SEYFFARTH
Credential	:
Telephone Number	:	631-294-2329

Provider Enumeration Date	:	10/30/2015
Last Update Date	:	03/20/2026

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Directions to “EYEMART EXPRESS LLC ” Practice Location

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