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Organization
SAM'S CLUB OPTICAL
Active
Organization
SAM'S CLUB OPTICAL
Active
Other names
Vision Center 30-4990
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIELA F DOUGLAS (NPI ASSOCIATE)
(479) 273-8048
Entity
Organization
Contact information
Practice address
29683 FREDERICK BLVD, DAPHNE, AL 36526
(251) 626-6909
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
09/11/2025
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