Provider Demographics
NPI:1629222831
Name:EYEMART EXPRESS, LTD.
Entity Type:Organization
Organization Name:EYEMART EXPRESS, LTD.
Other - Org Name:VISION 4 LESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF MVC
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-488-2002
Mailing Address - Street 1:2409 SE DELAWARE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-4470
Mailing Address - Country:US
Mailing Address - Phone:515-965-7711
Mailing Address - Fax:515-965-7601
Practice Address - Street 1:2409 SE DELAWARE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-4470
Practice Address - Country:US
Practice Address - Phone:515-965-7711
Practice Address - Fax:515-965-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies