Eyemart Express LLC

NPI #1467850529 in Onalaska, Wisconsin

Provider Information

NPI Number: 1467850529
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 5, 2014
Last Updated: Feb 15, 2024

Practice Location

Address: 9374 WISCONSIN HWY 16
City: Onalaska
State: Wisconsin
ZIP Code: 54650
Phone: (608) 781-8866

Authorized Official

Name: KIM CARUSO
Title: DIRECTOR OF CREDENTIALING
Phone: (646) 660-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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