Eyemart Express LLC

NPI #1497153134 in Idaho Falls, Idaho

Provider Information

NPI Number
1497153134
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 11, 2014
Last Updated
Dec 11, 2014

Practice Location

Address
2990 S 25TH E
State
Idaho
ZIP Code
83404-6515
Phone
(208) 535-2600

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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