| NPI | 1659649036 |
|---|---|
| Doing Business As | EYE MART |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SHORT Controller 8124-750-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |