Eyemart Express LTD
Organization Active NPI Eyewear Supplier · Cordova, TN
NPI 1336458447 · NPPES record last updated Oct 7, 2010
Key facts
- NPI
- 1336458447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- EYEMART EXPRESS LTD
- Practice address
- 465 N Germantown Pkwy
Cordova, TN 38018-6692 - Phone
- (901) 871-0043
- NPI assigned
- Oct 7, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- HD BARNES MANGEMETN CO
Authorized official
- Name
- Karen Pittman
- Title
- Director of Managed Care
- Phone
- (972) 488-2002
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Eyemart Express
- Part of
- Eyemart Express
Locations
465 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 871-0043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
465 N Germantown Pkwy
Cordova, TN 38018-6692
Mailing address
465 North Germantown Pkwy
Cordova, TN 38018
Phone (901) 871-0043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9302010 | Other | APPLICATION DATE |
Other names
- EyeMart Express
Other providers in Cordova, TN
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- Extended Quality of Life, LLC
- Eye Care Associates of Co, LLC
- Allegra Vanessa McDonald Fadeyi
- Oluwatosin A Fadeyi
- Lisa Diane Fair
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- Fairhaven Treatment Center
All providers in Cordova, TN · Eyewear Supplier in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 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.