Eyemart Express LLC

NPI #1265830301 in Appleton, Wisconsin

Provider Information

NPI Number: 1265830301
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 5, 2014
Last Updated: Dec 5, 2014

Practice Location

Address: 2600 W COLLEGE AVE
Address 2: SUITE 1A
City: Appleton
State: Wisconsin
ZIP Code: 54914-4200
Phone: (920) 735-9580

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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