Organization Name: | SAM'S CLUB OPTICAL |
NPI Number: | 1912219338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLY C WILKINSON (COMMERCIAL CONTRACTING SPECIALIST) |
Mailing Address: | 260 Bobby Jones Expy Augusta |
State: | GA US |
Postal Code: | 309072433 |
Phone Number: | 7068637846 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |