NPI 1114101193
Sam's Club Optical
Practice location
- Address
- 2650 East Craig Road, North Las Vegas, NV 89030
- Phone
- (702) 399-3722
- Mailing address
- 702 SW 8th St., Bentonville, AR 72716-0235
Authorised official
- Name
- David J Simmons
- Title
- Npi Associate
- Phone
- (479) 277-9373
Registered specialties (2)
Optician
Primary
Eyewear Supplier
Registry record
- NPI
- 1114101193
- Entity type
- Organization
- NPI issued
- 26 Dec 2007
- Record last updated
- 26 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.