Eyemart Express LLC
NPI #1134527112 in Springfield, Illinois
Provider Information
- NPI Number
- 1134527112
- 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 8, 2014
- Last Updated
- Feb 15, 2024
Practice Location
- Address
- 3427 FREEDOM DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6517
- Phone
- (217) 718-3480
Authorized Official
- Name
- KIM CARUSO
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (646) 660-1993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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