Eyemart Express LLC

NPI #1063810109 in Moline, Illinois

Provider Information

NPI Number
1063810109
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
Dec 5, 2014
Last Updated
Dec 5, 2014

Practice Location

Address
4703 16TH ST
City
Moline
ZIP Code
61265-7066
Phone
(309) 762-6278

Authorized Official

Name
KAREN PITTMAN
Title
DIRECTOR OF MANAGED CARE
Phone
(972) 488-2002

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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