Eyemart Express LLC

NPI #1124584529 in Layton, Utah

Provider Information

NPI Number: 1124584529
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: Feb 11, 2019
Last Updated: Feb 11, 2019

Practice Location

Address: 1986 N HILL FIELD RD STE 5
City: Layton
State: Utah
ZIP Code: 84041-2112
Phone: (801) 478-5914

Authorized Official

Name: RIMMA LUSKIN
Title: CREDENTIALING MANAGER
Phone: (212) 729-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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