NPI 1184886913

Sam's Club Optical

Organisation Optician South Jordan, UT

Practice location

Address: 11278 South Jordan Gtwy, South Jordan, UT 84095
Phone: (801) 545-9801
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

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Utah →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Utah →

Registry record

NPI: 1184886913
Entity type: Organization
NPI issued: 2 Jul 2008
Record last updated: 2 Jul 2008

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.