Organization
SAM'S CLUB OPTICAL
Active
Other names
Vision Center 30-4805
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY C WILKINSON (CARRIER SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
4420 KING AVENUE EAST, BILLINGS, MT 59101
(406) 256-7277
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
01/04/2010
Last updated
01/04/2010
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