Eyemart Express LLC

NPI #1023528320 in Twin Falls, Idaho

Provider Information

NPI Number
1023528320
Entity Type
Organization
Organization Name
Eyemart Express LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EYEMART EXPRESS LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 2, 2017
Last Updated
Oct 2, 2017

Practice Location

Address
1605 BLUE LAKES BLVD N # A
State
Idaho
ZIP Code
83301-3322
Phone
(208) 423-3800

Authorized Official

Name
KIM CARUSO
Title
DIRECTOR OF CREDENTIALING
Phone
(212) 792-8136

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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