Organization
EYEMART EXPRESS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO SAMUELSON (CHIEF ADMINISTRARIVE OFFICER)
(972) 488-2002
Entity
Organization
Contact information
Practice address
1308 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3604
(417) 886-8080
(417) 886-6484
Mailing address
2110 HUTTON DR, SUITE 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
02/15/2007
Last updated
01/31/2008
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