Eyemart Express, Ltd.
NPI #1740324375 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1740324375
- Entity Type
- Organization
- Organization Name
- Eyemart Express, Ltd.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Jan 31, 2008
Practice Location
- Address
- 721 W NEW ORLEANS ST
- Address 2
- BROKEN ARROW TOWN CENTRE I
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-1812
- Phone
- (918) 455-1992
Authorized Official
- Name
- MARY JO SAMUELSON
- Title
- CHIEF ADMINISTRATIVE OFFICER
- Phone
- (972) 488-2002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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