Eyemart Express LLC

NPI #1609274547 in Portage, Michigan

Provider Information

NPI Number: 1609274547
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 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 6483 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002-3542
Phone: (269) 324-4200

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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