SAM'S CLUB OPTICAL; NPI #1457589111

Contact Information

SAM'S CLUB OPTICAL

450 TOWNSEND ROAD
COCOA, FL 32926

Phone: 321-639-0124
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optician	156FX1800X	96[5]	Optician
Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SAM'S CLUB OPTICAL

NPI #	`1457589111`
LBN Legal business name	SAM'S CLUB OPTICAL
Authorized official	HOLLY WILKINSON - (CARRIER SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/01/2009
Last updated	07/01/2009 - About 17 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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SAM'S CLUB OPTICAL

Contact Information

Specialty

Optician

Eyewear Supplier

NPI Profile & details for SAM'S CLUB OPTICAL

Reviews for SAM'S CLUB OPTICAL