Provider Demographics
NPI:1588975536
Name:EYEMART EXPRESS
Entity type:Organization
Organization Name:EYEMART EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MANAGED CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-488-2002
Mailing Address - Street 1:11413 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4717
Mailing Address - Country:US
Mailing Address - Phone:804-302-4182
Mailing Address - Fax:804-302-4842
Practice Address - Street 1:11413 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4717
Practice Address - Country:US
Practice Address - Phone:804-302-4182
Practice Address - Fax:804-302-4842
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H D BARNES MANAGEMENT, CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier