Organization
SAM'S CLUB OPTICAL
Active
Other names
Sam's Club Optical 30-6536
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (CARRIER SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
901 AIRPORT CENTER DR, ALLENTOWN, PA 18109-9384
(610) 266-5201
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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