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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
KAREN PITTMAN (DIRECTOR OF MANAGED CARE)
(972) 488-2002
Entity
Organization

Contact information

Practice address
5279 WHITTLESEY BLVD, SUITE 100, COLUMBUS, GA 31909-3073
(706) 405-7099
(972) 277-3176
Mailing address
5279 WHITTLESEY BLVD, SUITE 100, COLUMBUS, GA 31909-3073
(706) 405-7099
(706) 324-4838

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/20/2016
Last updated
07/08/2016
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