NPI 1275667990
Sam's Club Optical
Practice location
- Address
- 4400 North Main Street, Roswell, NM 88201
- Phone
- (505) 627-9852
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0235
Authorised official
- Name
- Norma B Smith
- Title
- Npi Associate
- Phone
- (479) 277-1703
Registered specialties (2)
Optician
Primary
Eyewear Supplier
Registry record
- NPI
- 1275667990
- Entity type
- Organization
- NPI issued
- 15 Mar 2007
- Record last updated
- 18 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.