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Sam'S Club Optical

Technician/Technologist, Optician in Pittsburgh, PA. Organization (NPI-2).

NPI number1255464459
StatusActive
Last updated in NPPESMay 18, 2023

Details

NPI
1255464459
Entity type
Organization (NPI-2)
Legal business name
Sam'S Club Optical
Organization subpart
No
Enumeration date
Mar 14, 2007
Certification date
May 18, 2023
Last updated
May 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Other names

  • Sam'S Club Optical 30-6678 (Doing Business As)

Practice location

289 Mt Nebo Point Dr
Pittsburgh, PA 15237

Phone 412-364-6737 · Fax 412-364-5058

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0235

Phone 479-277-1703

Authorized official

Matt McMullin
Npi Associate
7943718711

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