Sam’s Club Optical

NPI Provider: 1073737441
Contact Name: Douglas F Shiela
Position: NPI Associate
Phone: (479) 273-8048

Sam’s Club Optical Information:

Sam’s Club Optical organization have npi 1073737441, taxonomy code is 156FX1800X with license number is in . This Business address located in 702 SW 8th Street, Bentonville, AR 72716 Arkansas.

Practice Location
Address: 29683 Frederick Blvd, Daphne, AL 36526
Phone: (251) 626-6909

Business Location
Address: 702 SW 8th Street, Bentonville, AR 72716

Taxonomy

Taxonomy Code: 156FX1800X

License Number:

License Number of State:

Primary Taxonomy Switch: X

Enumeration Date: 4/13/2007

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