Organization
EYEMART EXPRESS LTD
Active
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
4302 13TH AVE SOUTH, SUITE 6, FARGO, ND 58103
(701) 282-8007
(701) 282-4973
Mailing address
4302 13TH AVE SOUTH, SUITE 6, FARGO, ND 58103
(701) 282-8007
(701) 282-4973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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