Sam's Club Optical

NPI #1689707804 in Dothan, Alabama

Provider Information

NPI Number: 1689707804
Entity Type: Organization
Organization Name: Sam's Club Optical
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Mar 14, 2007
Last Updated: Jul 17, 2008

Practice Location

Address: 3440 ROSS CLARK CIR
City: Dothan
State: Alabama
ZIP Code: 36303-2525
Phone: (334) 671-5005

Authorized Official

Name: MRS. NORMA B SMITH
Title: MPI ASSOCIATE
Phone: (479) 277-1703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Technician/Technologist - Optician — Optician	156FX1800X	Primary

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