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Contact Information

SAM'S CLUB OPTICAL
5448 'A' WHITTLESEY BLVD
COLUMBUS, GA31909
 Phone: 706-649-6377
 Fax: 706-649-6377
 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 # 1619038254
LBN Legal business name SAM'S CLUB OPTICAL
Authorized official MATT MCMULLIN - (DIR, CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 07/26/2023 - About 3 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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