Eyemart Express LLC

NPI #1508546797 in Oshkosh, Wisconsin

Provider Information

NPI Number
1508546797
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
Jul 21, 2023
Last Updated
Jul 21, 2023

Practice Location

Address
1682 S KOELLER ST
ZIP Code
54902-6166
Phone
(920) 376-9626

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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