NPI | 1922428721 |
---|---|
Doing Business As | SAM'S VISION CENTER 30-6275 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Director, Healthcare Contracting An 479-204-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2014-04-18 |
Last Update Date | 2016-10-31 |