Eyemart Express LLC

NPI #1578960951 in Midwest City, Oklahoma

Provider Information

NPI Number: 1578960951
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 1, 2014
Last Updated: Dec 1, 2014

Practice Location

Address: 7199 SE 29TH ST
Address 2: SUITE 110-A
City: Midwest City
State: Oklahoma
ZIP Code: 73110-6003
Phone: (405) 741-2020

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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