# EYEMART EXPRESS, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912040064
- **Authorized official:** MARY JO SAMUELSON (CHIEF ADMINISTRARIVE OFFICER)
- **Authorized official phone:** (972) 488-2002

## Contact information

- **Practice address:** 5201 BOSQUE BLVD, SUITE 230, WACO, TX 76710-4411
- **Practice address phone:** (254) 751-7331
- **Practice address fax:** (254) 751-7793
- **Mailing address:** 2110 HUTTON DR, SUITE 100, CARROLLTON, TX 75006-6800
- **Mailing address phone:** (972) 488-2002
- **Mailing address fax:** (972) 488-8563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 01/31/2008