| NPI | 1275667990 |
|---|---|
| Doing Business As | SAM'S CLUB OPTICAL 30-4961 |
| Entity Type | Organization |
| Authorized Contact | NORMA B SMITH Npi Associate 479-277-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-07-18 |