Eyemart Express LLC

NPI #1578029054 in Casper, Wyoming

Provider Information

NPI Number
1578029054
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
Feb 20, 2019
Last Updated
Feb 20, 2019

Practice Location

Address
3400 E 2ND ST
City
Casper
State
Wyoming
ZIP Code
82609-2278
Phone
(307) 462-0640

Authorized Official

Name
RIMMA LUSKIN
Title
CREDENTIALING MANAGER
Phone
(212) 729-5300

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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