Eyemart Express LLC

NPI #1255893947 in Selma, Texas

Provider Information

NPI Number: 1255893947
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 2, 2019
Last Updated: Apr 2, 2019

Practice Location

Address: 14791 IH 35 N STE 108
City: Selma
State: Texas
ZIP Code: 78154-3464
Phone: (210) 390-0103

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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