Eyemart Express LLC
NPI #1972096469 in Chubbuck, Idaho
Provider Information
- NPI Number
- 1972096469
- 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
- Jun 11, 2018
- Last Updated
- Jun 11, 2018
Practice Location
Authorized Official
- Name
- KIM CARUSO
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (212) 792-8136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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