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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