# EYEMART EXPRESS LLC

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

## Provider details

- **NPI number:** 1699125773
- **Legal business name:** EYEMART EXPRESS LLC
- **Authorized official:** KIM CARUSO (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (212) 792-8136

## Contact information

- **Practice address:** 1177 BROAD ST, SUITE B, SUMTER, SC 29150-1932
- **Practice address phone:** (803) 720-5765
- **Practice address fax:** (972) 277-3176
- **Mailing address:** 1177 BROAD ST, SUITE B, SUMTER, SC 29150-1932
- **Mailing address phone:** (803) 720-5765
- **Mailing address fax:** (972) 277-3176

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016