| NPI | 1114011319 |
|---|---|
| Doing Business As | SAM'S OPTICAL CENTER 30-4795 |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCMULLIN Director 479-371-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-09-12 |