Eyemart Express LLC

NPI #1164023610 in Muskegon, Michigan

Provider Information

NPI Number: 1164023610
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: Nov 2, 2020
Last Updated: Feb 15, 2024

Practice Location

Address: 3355 HENRY ST STE H
City: Muskegon
State: Michigan
ZIP Code: 49441-4393
Phone: (231) 788-9176

Authorized Official

Name: KIM CARUSO
Title: DIRECTOR OF CREDENTIALING
Phone: (646) 660-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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