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Sam's Club Optical
Eyewear Supplier in Peoria, Illinois
NPI 1225125925

Sam's Club Optical is a Eyewear Supplier based in Bentonville, IL. Sam's Club Optical practices in Peoria, IL. The NPI Number for Sam's Club Optical is 1225125925 and holds a License No. (Illinois).

The current practice location address for Sam's Club Optical is 4100 W Willow Knolls Dr, Peoria, IL and can be reached out via phone at 309-691-4545.

Location: 4100 W Willow Knolls Dr, Peoria, IL, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225125925
Provider Name
Sam's Club Optical
Credential
Provider Entity Type
Organization
Address
4100 W Willow Knolls Dr, Peoria, IL, 72716-0235
Phone Number
309-691-4545
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4100 W Willow Knolls Dr
City
Peoria
State
Illinois
Zip
61615-4405
Phone Number
309-691-4545
Fax Number
person
Provider Business Mailing Address Details
Address
4100 W Willow Knolls Dr
City
Peoria
State
Illinois
Zip
61615-4405
Phone Number
309-691-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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