Sam'S Club Optical 30-6345
LBN: Sam'S Club Optical
Sam'S Club Optical 30-6345 is an health care organization with primary practice located at 700 E 17Th St , Idaho Falls ID 83404-6152. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Sam'S Club Optical can be contacted via phone (208) 529-2300, or through Epperson, Linda M. via phone (316) 788-5580.
Contact Information
Primary practice address
700 E 17Th St
Idaho Falls ID 83404-6152
Phone: (208) 529-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1902990930 |
|---|---|
| LBN Legal business name | Sam'S Club Optical |
| DBA Doing business as | Sam'S Club Optical 30-6345 |
| Authorized official | Epperson, Linda M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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