NPI | 1528329745 |
---|---|
Doing Business As | SAMS CLUB OPTICAL 30-6487 |
Entity Type | Organization |
Authorized Contact | DIANNNA PAINTER Enrollment Specialist 479-277-1238 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-06-05 |