Sam's Club Optical
NPI #1124123914 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1124123914
- Entity Type
- Organization
- Organization Name
- Sam's Club Optical
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Oct 14, 2025
Practice Location
- Address
- 1946 10TH AVENUE NORTH
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-5624
- Phone
- (843) 946-9521
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SR. DIRECTOR
- Phone
- (479) 371-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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