Eyemart Express LLC

NPI #1235726019 in Jackson, Tennessee

Provider Information

NPI Number: 1235726019
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 28, 2020
Last Updated: Dec 28, 2020

Practice Location

Address: 1245 VANN DR
City: Jackson
State: Tennessee
ZIP Code: 38305-6024
Phone: (731) 286-7865

Authorized Official

Name: RIMMA LUSKIN
Title: CREDENTIALING MANAGER
Phone: (212) 729-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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