Eyemart Express LLC

NPI #1205663812 in Minot, North Dakota

Provider Information

NPI Number: 1205663812
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: Sep 17, 2024
Last Updated: Sep 17, 2024

Practice Location

Address: 1511 24TH AVE SW
City: Minot
State: North Dakota
ZIP Code: 58701
Phone: (701) 578-3774

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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