Eyemart Express LLC

NPI #1124506696 in Mason, Ohio

Provider Information

NPI Number: 1124506696
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: Aug 6, 2018
Last Updated: Aug 6, 2018

Practice Location

Address: 9554 S MASON MONTGOMERY RD
City: Mason
State: Ohio
ZIP Code: 45040-9759
Phone: (513) 466-0700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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