Eyemart Express LLC

NPI #1316345200 in South Portland, Maine

Provider Information

NPI Number
1316345200
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 9, 2014
Last Updated
Dec 9, 2014

Practice Location

Address
335 MAINE MALL RD
State
Maine
ZIP Code
04106-3214
Phone
(207) 771-7962

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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