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Organization
SAMS WEST, INC
Active
Organization
SAMS WEST, INC
Active
Other names
Sams Club Vision Center 30-6510
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 204-8741
Entity
Organization
Contact information
Practice address
1831 MADISON AVE, MANKATO, MN 56001-5449
(507) 387-8176
(507) 387-4952
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8741
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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