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Contact Information

EYEMART EXPRESS LLC
2111 MISSOURI BLVD
JEFFERSON CITY, MO65109-4773
 Phone: 573-830-0110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYEMART EXPRESS LLC

NPI Number 1942842208
LBN Legal business name EYEMART EXPRESS LLC
Authorized official KIM CARUSO - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/08/2019
Last updated 08/25/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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