Organization
SAM'S CLUB OPTICAL
Active
Other names
Sam's Club Optical 30-8202
Organization subpart
No
Provider details
NPI number
Authorized official
SHIELA F DOUGLAS (NPI ASSOCIATE)
(479) 273-8048
Entity
Organization
Contact information
Practice address
1975 E MONTGOMERY XRD, SAVANNAH, GA 31406-5036
(912) 238-1466
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
09/11/2025
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