OrganizationActive
Eyemart Express LLC
NPI 1972096469 · Eyewear Supplier · Chubbuck, ID
Provider details
- NPI number
- 1972096469
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Eyemart Express LLC
- Organization subpart
- Yes
- Authorized official
- Kim Caruso, Director of Credentialing(212) 792-8136
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4013 Yellowstone Ave Ste D&e
Chubbuck, ID 83202-1932
Phone: (208) 547-5012
Fax: (972) 277-3176
Street-level locationGet directions
Mailing address
4013 Yellowstone Ave Ste D&e
Chubbuck, ID 83202-1932
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2018-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.