Eyemart Express LLC

NPI #1285258012 in Omaha, Nebraska

Provider Information

NPI Number: 1285258012
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: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 12424 W DODGE RD STE 104
City: Omaha
State: Nebraska
ZIP Code: 68154-2322
Phone: (531) 233-0360

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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