Eyemart Express LLC

NPI #1164165999 in Jackson, Michigan

Provider Information

NPI Number: 1164165999
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: Apr 19, 2022
Last Updated: Mar 7, 2024

Practice Location

Address: 1379 BOARDMAN ROAD
City: Jackson
State: Michigan
ZIP Code: 49202
Phone: (517) 879-4068

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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