Organization Name: | EYEMART EXPRESS LLC |
NPI Number: | 1033517016 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
Mailing Address: | 15218a Crossroads Pkwy Gulfport |
State: | MS US |
Postal Code: | 395033564 |
Phone Number: | 2288328808 |
Fax Number: | 2288328208 |
NPI Enumeration Date: | 12/08/2014 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |