Organization
EYEMART EXPRESS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON TERRILL (DIRECTOR OF MVC)
(972) 488-2002
Entity
Organization
Contact information
Practice address
2600 W COLLEGE AVE, SUITE 1A, APPLETON, WI 54914-4200
(920) 735-9580
(920) 735-9886
Mailing address
2600 W COLLEGE AVE, SUITE 1A, APPLETON, WI 54914-4200
(920) 735-9580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/19/2008
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