Organization · NPI-2

Eyemart Express, Ltd.

Durable Medical Equipment & Medical Supplies · Sioux City, IA

NPI number1740323104
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740323104
Entity type
Organization (NPI-2)
Legal business name
Eyemart Express, Ltd.
Organization subpart
No
Enumeration date
Feb 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

5001 Sergeant Rd
Suite 45
Sioux City, IA 51106-4775

Phone 712-276-0104 · Fax 712-276-3716

Mailing address

2110 Hutton Dr
Suite 100
Carrollton, TX 75006-6800

Phone 972-488-2002 · Fax 972-488-8563

Authorized official

Mary Jo Samuelson
Chief Administrarive Officer
9724882002

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Sioux City, IA