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)
(646) 660-1993
Entity
Organization
Contact information
Practice address
1370 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1765
(458) 271-3551
(458) 271-3552
Mailing address
1370 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1765
(458) 271-3551
(458) 271-3552
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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