NPI | 1114101193 |
---|---|
Doing Business As | SAM'S CLUB OPTICAL 30-4974 |
Entity Type | Organization |
Authorized Contact | DAVID J SIMMONS Npi Associate 479-277-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |