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EYEMART EXPRESS LLC

Suppliers Eyewear Supplier (Equipment, not the service)

Provider NPI: 1114325081

Organization Information:
Organization Name:  EYEMART EXPRESS LLC
Organization is Subpart
Authorized Official:  KAREN  PITTMAN  DIRECTOR OF MANAGED CARE  972-488-2002

Practice Location:
6725 SIEGEN LN SUITE C BATON ROUGE, LA 70809-4589 US
Tel: 225-293-1287  Fax: 225-341-3697

Business Mailing Address:
6725 SIEGEN LN SUITE C BATON ROUGE, LA 70809-4589 US
Tel: 225-293-1287  Fax: 225-341-3697

NPI Information:
NPI: 1114325081
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332H00000XSuppliers
Eyewear Supplier (Equipment, not the service)

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 332H00000X

Type:

Classification:



Definition:



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