Sam's Club Optical
NPI #1306947379 in Calumet City, Illinois
Provider Information
- NPI Number
- 1306947379
- Entity Type
- Organization
- Organization Name
- Sam's Club Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 603 RIVER OAKS W
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5408
- Phone
- (708) 889-9129
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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