| NPI | 1134765100 |
|---|---|
| Doing Business As | SAM'S OPTICAL CENTER 30-4731 |
| 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) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-01-09 |