# EYEMART EXPRESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYEMART EXPRESS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528466521
- **Legal business name:** EYEMART EXPRESS LLC
- **Authorized official:** KAREN PITTMAN (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (972) 488-2002

## Contact information

- **Practice address:** 5619 GROVE BLVD, STE 109, HOOVER, AL 35226-4603
- **Practice address phone:** (205) 402-0657
- **Practice address fax:** (205) 402-0658
- **Mailing address:** 5619 GROVE BLVD, STE 109, HOOVER, AL 35226-4603
- **Mailing address phone:** (205) 402-0657
- **Mailing address fax:** (205) 402-0658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 12/08/2014
