OrganizationActive
Eyemart Express LLC
NPI 1124950100 · Eyewear Supplier · Conway, SC
Provider details
- NPI number
- 1124950100
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kim Caruso, Director of Credentialing(646) 660-1993
Specialties & taxonomies
Suppliers
Practice location
1610 Church St
Conway, SC 29526-2930
Phone: (843) 279-4882
Fax: (843) 279-4884
Approximate (ZIP-level) locationGet directions
Mailing address
1610 Church St
Conway, SC 29526-2930
Registry dates
- Enumerated
- 2026-06-02
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.