1679614549 NPI number — EYEMART EXPRESS LTD

Table of content: (NPI 1679614549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679614549 NPI number — EYEMART EXPRESS LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EYEMART EXPRESS LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679614549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2110 HUTTON DR
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75006-6800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-488-2002
Provider Business Mailing Address Fax Number:
972-488-8563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4540 SHERWOOD WAY
Provider Second Line Business Practice Location Address:
STE 104
Provider Business Practice Location Address City Name:
SAN ANGELO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-947-5200
Provider Business Practice Location Address Fax Number:
325-947-5277
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAMUELSON
Authorized Official First Name:
MARY JO
Authorized Official Middle Name:
Authorized Official Title or Position:
C.A.O.
Authorized Official Telephone Number:
972-488-2002

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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