Provider Demographics
NPI:1336483064
Name:EYEMART EXPRESS LTD
Entity Type:Organization
Organization Name:EYEMART EXPRESS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-788-2002
Mailing Address - Street 1:7021 S MEMORIAL DR
Mailing Address - Street 2:UNIT K48
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2025
Mailing Address - Country:US
Mailing Address - Phone:918-461-1192
Mailing Address - Fax:918-254-6978
Practice Address - Street 1:7021 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2025
Practice Address - Country:US
Practice Address - Phone:918-461-1192
Practice Address - Fax:918-254-6978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HD BARNES MANAGEMENT, CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier