NPI | 1508200379 |
---|---|
Doing Business As | SAMS CLUB VISION CENTER 30-6425 |
Entity Type | Organization |
Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-204-8741 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2013-04-24 |
Last Update Date | 2014-04-03 |