Eyemart Express LLC

NPI #1265830202 in Fort Smith, Arkansas

Provider Information

NPI Number: 1265830202
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: 4189 PHOENIX AVE
City: Fort Smith
State: Arkansas
ZIP Code: 72903-6013
Phone: (479) 434-3680

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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