Organization
SAM'S CLUB OPTICAL
Active
Other names
Sam's Club Optical 30-8298
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRINA N SUTTON (NPI ASSOCIATE)
(479) 277-1175
Entity
Organization
Contact information
Practice address
321 S LARKIN AVE, JOLIET, IL 60436-1249
(815) 744-2525
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
(479) 277-1175
(479) 277-8174
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
09/11/2025
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