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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
2854 41ST ST NW, SUITE 103, ROCHESTER, MN 55901-7825
(507) 218-2636
(972) 277-3176
Mailing address
2854 41ST ST NW, SUITE 103, ROCHESTER, MN 55901-7825
(507) 218-2636
(972) 277-3176

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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