Eyemart Express LLC

NPI #1902368905 in Ames, Iowa

Provider Information

NPI Number: 1902368905
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: Apr 1, 2019
Last Updated: Apr 1, 2019

Practice Location

Address: 814 S DUFF AVE
City: Ames
State: Iowa
ZIP Code: 50010-6812
Phone: (515) 817-1996

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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