NPI | 1861586158 |
---|---|
Doing Business As | SAM'S CLUB OPTICAL 30-4768 |
Entity Type | Organization |
Authorized Contact | LINDA M EPPERSON Npi Coordinator 316-788-5580 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |