NPI | 1881785277 |
---|---|
Doing Business As | SAM'S CLUB OPTICAL 30-8138 |
Entity Type | Organization |
Authorized Contact | LINDA M. EPPERSON Npi Coordinator 316-788-5580 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2006-09-28 |
Last Update Date | 2019-07-25 |