NPI | 1245624071 |
---|---|
Doing Business As | SAM'S CLUB VISION CENTER 30-4930 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Director 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2015-03-18 |
Last Update Date | 2015-04-06 |