Whalio Doctors

NPI 1902920093

Sam's Club Optical

Organisation Optician Roswell, NM

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
Eye and Vision Services Providers Taxonomy 156FX1800X

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.