| NPI | 1902920093 |
|---|---|
| Doing Business As | SAM'S CLUB OPTICAL 30- |
| Entity Type | Organization |
| Authorized Contact | NORMA B SMITH Mpi Associate 479-277-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |