NPI | 1578800371 |
---|---|
Doing Business As | SAM'S CLUB VISION CENTER 30-6482 |
Entity Type | Organization |
Authorized Contact | DANIELLE SMITH Enrollment Specialist 479-204-8705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2013-01-14 |
Last Update Date | 2013-01-14 |