| NPI | 1811094428 |
|---|---|
| Doing Business As | SAM'S CLUB OPTICAL 30-6356 |
| Entity Type | Organization |
| Authorized Contact | TAMMY J BOYD Contract Coordinator 479-277-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2025-09-11 |