Organization
EYEMART EXPRESS LLC
Active
Parent organization
EYEMART EXPRESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYEMART EXPRESS LLC
Authorized official
KIM CARUSO (DIRECTOR OF CREDENTIALING)
(212) 792-8136
Entity
Organization
Contact information
Practice address
10231 W 21ST ST N # N107, WICHITA, KS 67205-1832
(316) 251-9263
Mailing address
10231 W 21ST ST N # N107, WICHITA, KS 67205-1832
(316) 251-9263
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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