Provider Demographics
NPI:1831474758
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:972-488-2002
Mailing Address - Street 1:4203 W WENDOVER AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1919
Mailing Address - Country:US
Mailing Address - Phone:336-698-3781
Mailing Address - Fax:336-790-8704
Practice Address - Street 1:4203 W WENDOVER AVE
Practice Address - Street 2:SUITE F
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1919
Practice Address - Country:US
Practice Address - Phone:336-698-3781
Practice Address - Fax:336-790-8704
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HD BARNES MANAGEMENT, CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier