P Praxis·MD
● Active Type 2 · Organization Subpart

Eyemart Express Llc

Eyewear Supplier·Chubbuck, ID· NPI 1972096469 · Enumerated 2018 · 7 years on NPI
Eyemart Express Llc is 1 of 74 eyewear supplier organizations in Idaho.
NPI age
7 years
Enumerated 2018-06-11
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Caruso
Director Of Credentialing
Last NPPES update
2018-06-11
Source: monthly bulk 2026-05

How this organization compares

Across 74 active eyewear supplier providers in Idaho.

NPI age
7 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
4013 Yellowstone Ave Ste D&e
Chubbuck, ID 832021932
📞 2085475012fax 9722773176
Mailing address
4013 Yellowstone Ave Ste D&e
Chubbuck, ID 832021932
📞 2085475012fax 9722773176

Authorized official

Kim Caruso
Director Of Credentialing
📞 2127928136

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X

Practice context

Single-site organization. Only one practice location on file.

Subpart of Eyemart Express Llc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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