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Contact Information

SAM'S CLUB OPTICAL
13249 LEE HIGHWAY
BRISTOL, VA24202
 Phone: 423-282-4860
 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

NPI Number 1285828640
LBN Legal business name SAM'S CLUB OPTICAL
Authorized official SABRINA SUTTON - (NPI ASSOCIATE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2007
Last updated 08/29/2007 - About 19 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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