Eyemart Express LLC

NPI #1538567524 in Nampa, Idaho

Provider Information

NPI Number: 1538567524
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: 16449 MIDLAND BLVD
City: Nampa
State: Idaho
ZIP Code: 83687-5222
Phone: (208) 466-4585

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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