NPI 1902920093
Sam's Club Optical
Practice location
- Address
- 4400 North Main St, Roswell, NM 88201
- Phone
- (505) 627-9852
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-6209
Authorised official
- Name
- Norma B Smith
- Title
- Mpi Associate
- Phone
- (479) 277-1703
Registered specialties
Optician
Primary
Registry record
- NPI
- 1902920093
- Entity type
- Organization
- NPI issued
- 16 Mar 2007
- Record last updated
- 22 Aug 2020
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.