NPI | 1083250146 |
---|---|
Doing Business As | SAM'S OPTICAL CENTER 30-6238 |
Entity Type | Organization |
Authorized Contact | SARAH LITTLE Director Of Health Care Contracting 479-277-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2020-01-03 |