Sam's Club Optical
NPI #1902920093 in Roswell, New Mexico
Provider Information
- NPI Number
- 1902920093
- Entity Type
- Organization
- Organization Name
- Sam's Club Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4400 NORTH MAIN ST
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201
- Phone
- (505) 627-9852
Authorized Official
- Name
- MRS. NORMA B SMITH
- Title
- MPI ASSOCIATE
- Phone
- (479) 277-1703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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