SAM'S CLUB OPTICAL 30-8181; NPI #1427287630
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SAM'S CLUB OPTICAL 30-8181
LBN SAM'S CLUB OPTICAL

Optician

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Contact Information

SAM'S CLUB OPTICAL 30-8181
LBN SAM'S CLUB OPTICAL
3805 NORTH BLVD
ALEXANDRIA, LA  71301-3563
 Phone: 308-442-9730
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Optician

 156FX1800X 96[5] Optician
 

Eyewear Supplier

 332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SAM'S CLUB OPTICAL 30-8181

NPI Number 1427287630
LBN Legal business name SAM'S CLUB OPTICAL
DBA Doing business as SAM'S CLUB OPTICAL 30-8181
Authorized official HOLLY WILKINSON - (CARRIER SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2009
Last updated 07/09/2009 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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