| NPI | 1023800950 |
|---|---|
| Doing Business As | SAM'S OPTICAL CENTER 30-4956 |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Senior Director 480-277-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |