NPI | 1871930289 |
---|---|
Doing Business As | SAM'S VISION CENTER 30-4878 |
Entity Type | Organization |
Authorized Contact | AMY POWERS Specialist, Plan Enrollment 479-204-0709 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2013-05-24 |
Last Update Date | 2013-05-24 |