Eyemart Express LLC

NPI #1922640515 in Marion, Illinois

Provider Information

NPI Number: 1922640515
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: Oct 15, 2019
Last Updated: Feb 15, 2024

Practice Location

Address: 2703 W DEYOUNG ST STE A
City: Marion
State: Illinois
ZIP Code: 62959-4941
Phone: (618) 767-5660

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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