Organization
SAM'S CLUB OPTICAL
Active
Other names
Sam's Club Optical 30-4770
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA SUTTON (NPI ASSOCIATE)
(479) 277-1175
Entity
Organization
Contact information
Practice address
3247 23RD AVENUE, EVANS, CO 80620
(970) 330-1011
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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