Eyemart Express LLC

NPI #1326545476 in Auburn, Maine

Provider Information

NPI Number: 1326545476
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 6, 2018
Last Updated: Apr 6, 2018

Practice Location

Address: 363 CENTER ST
City: Auburn
State: Maine
ZIP Code: 04210-6114
Phone: (207) 530-8008

Authorized Official

Name: KIM CARUSO
Title: DIRECTOR OF CREDENTIALING
Phone: (212) 792-8136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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