# EYEMART EXPRESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYEMART EXPRESS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003611484
- **Legal business name:** EYEMART EXPRESS LLC
- **Authorized official:** TERRI NESRSTA (DIRECTOR OF MANAGED CARE STRATEGY)
- **Authorized official phone:** (972) 277-3057

## Contact information

- **Practice address:** 2077 PARKWAY DR STE 102, INDIAN LAND, SC 29707-8088
- **Practice address phone:** (839) 293-0290
- **Practice address fax:** (839) 293-0299
- **Mailing address:** 2077 PARKWAY DR STE 102, INDIAN LAND, SC 29707-8088
- **Mailing address phone:** (839) 293-0290
- **Mailing address fax:** (839) 293-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 10/02/2026