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
2811 S ONEIDA ST, ASHWAUBENON, WI 54304-5748
(920) 496-0012
(920) 496-0256
Mailing address
2110 HUTTON DR, SUITE 100, CARROLLTON, TX 75006-6800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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