Eyemart Express LLC

NPI #1396219374 in Rogers, Arkansas

Provider Information

NPI Number: 1396219374
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: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 2600 W PLEASANT CROSSING DR STE 60
City: Rogers
State: Arkansas
ZIP Code: 72758-8323
Phone: (479) 202-4740

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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