Eyemart Express LLC

NPI #1114325859 in Midland, Texas

Provider Information

NPI Number: 1114325859
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 11, 2014
Last Updated: Jul 2, 2015

Practice Location

Address: 2900 W. LOOP 250 NORTH
Address 2: SUITE 165
City: Midland
State: Texas
ZIP Code: 79705
Phone: (432) 897-1107

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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