Eyemart Express LLC
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1538567680
StatusActive
Last updated in NPPESDec 5, 2014
Details
- NPI
- 1538567680
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyemart Express LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 5, 2014
- Last updated
- Dec 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
4302 13th Ave SSte. 6
Fargo, ND 58103-3395
Phone 701-282-8007 · Fax 701-282-4973
Mailing address
4302 13th Ave SSte. 6
Fargo, ND 58103-3395
Phone 701-282-8007 · Fax 701-282-4973
Authorized official
Karen Pittman
Director Of Managed Care
9724882002
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