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
2901 W BROADWAY, STE 101, COLUMBIA, MO 65203
(573) 474-4181
(573) 474-4188
Mailing address
2110 HUTTON DR, STE 100, CARROLLTON, TX 75006
(972) 488-2002
(972) 488-8563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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