Eyemart Express LLC

NPI #1902691090 in Coeur D'alene, Idaho

Provider Information

NPI Number: 1902691090
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 10, 2025
Last Updated: Apr 10, 2025

Practice Location

Address: 7307 NORTH CULTURE WAY
City: Coeur D'alene
State: Idaho
ZIP Code: 83815
Phone: (208) 956-0017

Authorized Official

Name: KIM CARUSO
Title: DIRECTOR OF CREDENTIALING
Phone: (646) 660-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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