Active NPIOrganization

Sam'S Club #4806

Eyewear Supplier (Equipment, not the service) in Carolina, Puerto Rico

NPI Number1891026001
Practice location
Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979
Fax
787-757-4795
Last updated
January 28, 2010

Sam'S Club #4806 is a healthcare organization based in Carolina, PR. Sam'S Club #4806 practices in Carolina, PR. The NPI Number for Sam'S Club #4806 is 1891026001. The current practice location address for Sam'S Club #4806 is Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979 and can be reached out via phone at 787-474-7278 and via fax at 787-757-4795.

Provider Profile Details

NPI Number
1891026001
Provider Name
Sam'S Club #4806
Provider Entity Type
Organization
Address
Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979
Phone Number
787-474-7278
Fax Number
787-757-4795
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
No
Authorized Official
Mr. Rene Pabon · Retail Business Strategic Director · 787-653-8094
Other Names
Sam'S Optica #4806 (Doing Business As)
Provider Enumeration Date
January 28, 2010
Last Update Date
January 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr #3 Km 15.2
Bo. Canovanilla
Carolina, PR 00979
Zip
00979
Phone Number
787-474-7278
Fax Number
787-757-4795
Carolina, PR 00979Get directions →

Provider Business Mailing Address Details

Address
Carr#3 Km15.2
Bo. Canovanilla
Carolina, PR 00979
City
Carolina
State
PR
Zip
00979
Phone Number
787-474-7278
Fax Number
787-757-4795

License Information

Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sam'S Club #4806?

The NPI number of Sam'S Club #4806 is 1891026001. It was assigned on January 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Sam'S Club #4806?

Sam'S Club #4806 is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).

Where does Sam'S Club #4806 practice?

The practice location is Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979. The office can be reached at 787-474-7278 (phone) or 787-757-4795 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891026001 directly on the NPPES registry website.

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