Eyemart Express LLC

NPI #1194123158 in Rapid City, South Dakota

Provider Information

NPI Number
1194123158
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
Dec 8, 2014

Practice Location

Address
1605 EGLIN ST
ZIP Code
57701-6107
Phone
(605) 341-3878

Authorized Official

Name
KAREN PITTMAN
Title
DIRECTOR OF MANAGED CARE
Phone
(972) 488-2002

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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