Organization
SAM'S CLUB OPTICAL
Active
Other names
Sam's Club Optical 30-4998
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (OPTICAL INSURANCE PLAN REVIEW)
(479) 204-8320
Entity
Organization
Contact information
Practice address
755 N. HWY 27/441, LADY LAKE (THE VILLAGES), FL 32159
(352) 751-6887
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
12/24/2008
Last updated
12/24/2008
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