Eyemart Express LLC

NPI #1902370257 in Augusta, Maine

Provider Information

NPI Number: 1902370257
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: Jan 18, 2019
Last Updated: Jan 18, 2019

Practice Location

Address: 254 WESTERN AVE
City: Augusta
State: Maine
ZIP Code: 04330-4902
Phone: (207) 307-2780

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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