Organization · NPI-2

Eyemart Express LLC

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1932507928
StatusActive
Last updated in NPPESDec 8, 2014

Details

NPI
1932507928
Entity type
Organization (NPI-2)
Legal business name
Eyemart Express LLC
Organization subpart
Yes
Enumeration date
Dec 8, 2014
Last updated
Dec 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

4415 Amb Caffery Pkwy
Suite 119
Lafayette, LA 70508-6771

Phone 337-406-0620 · Fax 337-406-0667

Mailing address

4415 Amb Caffery Pkwy
Suite 119
Lafayette, LA 70508-6771

Phone 337-406-0620 · Fax 337-406-0667

Authorized official

Karen Pittman
Director Of Managed Care
9724882002

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