NPI | 1053495044 |
---|---|
Doing Business As | SAM'S CLUB OPTICAL 30-4940 |
Entity Type | Organization |
Authorized Contact | TAMMY J BOYD Contract COO Rdinator 479-277-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |