Eyemart Express LLC

NPI #1336547371 in Boise, Idaho

Provider Information

NPI Number: 1336547371
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: 291 N MILWAUKEE ST
Address 2: SUITE A-3
City: Boise
State: Idaho
ZIP Code: 83704-9132
Phone: (208) 378-9900

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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