NPI | 1902299746 |
---|---|
Doing Business As | SAM'S VISION CENTER 30-8189 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Dir Healthcare Contract & Enroll 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
Enumeration Date | 2015-03-17 |
Last Update Date | 2015-03-17 |