Organization
EYEMART EXPRESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO SAMUELSON (C.A.O.)
(972) 488-2002
Entity
Organization
Contact information
Practice address
4323 E MAIN ST, FARMINGTON, NM 87402-8621
(505) 326-7800
(505) 326-7804
Mailing address
2110 HUTTON DR, STE 100, CARROLLTON, TX 75006-6800
(972) 488-2002
(972) 488-8563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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