# EYEMART EXPRESS LLC

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

## Provider details

- **NPI number:** 1588055214
- **Legal business name:** EYEMART EXPRESS LLC
- **Authorized official:** KAREN PITTMAN (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (972) 488-2002

## Contact information

- **Practice address:** 10136 TWO NOTCH RD, SUITE 107D, COLUMBIA, SC 29229-4389
- **Practice address phone:** (803) 667-4311
- **Practice address fax:** (803) 753-1662
- **Mailing address:** 10136 TWO NOTCH RD, SUITE 107D, COLUMBIA, SC 29229-4389
- **Mailing address phone:** (803) 667-4311
- **Mailing address fax:** (803) 753-1662

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 02/17/2015