Provider Demographics
NPI:1922431766
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 1:900 GRAND CENTRAL AVE
Mailing Address - Street 2:SUITE# T.B.D.
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-2147
Mailing Address - Country:US
Mailing Address - Phone:304-699-1147
Mailing Address - Fax:304-699-4209
Practice Address - Street 1:900 GRAND CENTRAL AVE
Practice Address - Street 2:SUITE# T.B.D.
Practice Address - City:VIENNA
Practice Address - State:WV
Practice Address - Zip Code:26105-2147
Practice Address - Country:US
Practice Address - Phone:304-699-1147
Practice Address - Fax:304-699-4209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HD BARNES MANAGEMENT, CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier