Eyemart Express LTD
Organization Active NPI Eyewear Supplier · Spingfield, IL
NPI 1134422686 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1134422686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- EYEMART EXPRESS LTD
- Practice address
- 3427 Freedom Drive
Spingfield, IL 62704 - Phone
- (217) 718-3480
- Fax
- (217) 718-3484
- NPI assigned
- Dec 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen Pittman
- Title
- Directpr of Managed Care
- Phone
- (972) 488-2002
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Eyemart Express
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
3427 Freedom Drive
Spingfield, IL 62704
Mailing address
3427 Freedom Drive
Spingfield, IL 62704
Phone (217) 718-3480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11292010 | Other | APPLICATION DATE |
Other names
- EyeMart Express #133
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.