Sam's Club Optical
NPI #1790866465 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1790866465
- Entity Type
- Organization
- Organization Name
- Sam's Club Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 30, 2007
Practice Location
- Address
- 3081 N HWY 112
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72704
- Phone
- (479) 587-1857
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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