Organization Name: | EYEMART EXPRESS LLC |
NPI Number: | 1073980850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
Mailing Address: | 1517 Texas Ave S College Station |
State: | TX US |
Postal Code: | 778403328 |
Phone Number: | 9792128610 |
Fax Number: | 9796933916 |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 10/02/2015 |
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. |