| NPI | 1134489529 |
|---|---|
| Doing Business As | SAMS CLUB OPTICAL 30-6458 |
| Entity Type | Organization |
| Authorized Contact | DIANNA PAINTER Enollment Specialist 479-277-1238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |