SAM'S CLUB OPTICAL


Address: 904 Pleasant Grove Blvd, Roseville, CA 95678-6126
Phone: 9167818160

SAM'S CLUB OPTICAL (NPI# 1033208616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033208616
Entity Type Organization
Organization Name SAM'S CLUB OPTICAL
Other Organization Name SAM'S CLUB OPTICAL 30-6621
Practice Address 904 Pleasant Grove Blvd
Roseville
CA 95678-6126
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0235
Practice Telephone 9167818160
Enumeration Date 2006-10-12
Last Update Date 2020-08-22
Authorized Official Name LINDA M. EPPERSON (NPI COORDINATOR)
Authorized Official Telephone 3167885580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers
X 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Sam's Club Optical 30-6621 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881924413 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 4420 King Avenue East, Billings, MT 59101 2010-01-04
1457589111 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 450 Townsend Road, Cocoa, FL 32926 2009-07-01
1427286251 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 745 W El Camino Alto Drive, Springfield (s), MO 65810 2009-07-01
1093951956 Sam's Club Optical Technician/Technologist 755 N. Hwy 27/441, Lady Lake (the Villages), FL 32159 2008-12-24
1619125903 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 3247 23rd Avenue, Evans, CO 80620 2008-08-29
1720236011 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 2000 Clements Bridge Rd Ste 116, Deptford, NJ 08096-2011 2008-08-29
1184886913 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 11278 South Jordan Gtwy, South Jordan, UT 84095 2008-07-02
1356516116 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 3839 Mundy Mill Road, Oakwood, GA 30566 2008-04-23
1104095801 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 7100 West Arroyo Crossing Pkwy, Las Vegas, NV 89113 2008-02-27
1114101193 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 2650 East Craig Road, North Las Vegas, NV 89030 2007-12-26

Office Location

Street Address 904 PLEASANT GROVE BLVD
City ROSEVILLE
State CA
Zip Code 95678-6126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538186762 Sams West Inc Durable Medical Equipment & Medical Supplies 904 Pleasant Grove Blvd, Roseville, CA 95678-6126 2006-07-16
1437567450 Luan Huynh Pharmacist 904 Pleasant Grove Blvd, Roseville, CA 95678-6126 2014-07-23
1073920088 Jagdeep Girn Pharmacist 904 Pleasant Grove Blvd, Roseville, CA 95678-6126 2014-07-22
1588847974 Firstsight Vision Services, Inc. Optometrist 904 Pleasant Grove Blvd, Roseville, CA 95678-6126 2007-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114533064 Alexander V. Antipov, D.d.s., Inc. Dentist 911 Reserve Drive, Suite 150, Roseville, CA 95678 2020-09-16
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1083256051 Rosemary Ellen Robben Community Health Worker Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 2019-10-11
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1174093793 Neftali Hernandez Behavior Technician 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 2018-11-26
1467951798 Amarantha Martinez Behavior Technician 1900 Quail Ridge Road, #99, Roseville, CA 95678 2018-02-01
1093231276 Compassionate Home Health, Ltd Home Health 1100 Melody Lane, Suite 106, Roseville, CA 95678 2017-08-18
1629598891 Jimena Andrade Martins Behavior Technician 602 Atkinson Street, Roseville, CA 95678 2017-06-20
1891221057 Zride Inc Taxi 106 Church Street, Suite 2, Roseville, CA 95678 2017-05-10
1568997641 Joline Trinh Pharmacist 1030 Pleasant Grove Boulevard, Roseville, CA 95678 2017-04-26
Find all providers in zip 95678

Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649717489 National Vision, Inc. Technician/Technologist 1010 Pleasant Grove Blvd, Suite 120, Roseville, CA 95678-6118 2017-01-31
1124411491 W Optical 3 LLC Technician/Technologist 31503 Gratiot Ave, Roseville, MI 48066-4583 2015-03-11
1902227689 Eyeglass World Technician/Technologist 31873 Gratiot Ave, Roseville, MI 48066-4527 2013-12-23
1558545582 Gorman Optical Inc Technician/Technologist 2797 Hamline Ave No, Hamline Center Suite 2, Roseville, MN 55113-1715 2007-12-27
1538355102 America's Best Contacts & Eyeglasses Technician/Technologist 29138 Gratiot Ave, Roseville, MI 48066-4152 2007-09-18
1366645285 Roseville Site for Vision Products, Inc. Technician/Technologist 1095 Roseville Sq, Roseville, CA 95678-2809 2007-06-07
1659407377 Juettner Optical Inc Technician/Technologist 1145 Larpenteur Ave W, Roseville, MN 55113-6335 2007-02-26
1710061932 Walmart Stores, Inc. Technician/Technologist 1400 Lead Hill Blvd, Roseville, CA 95661-2949 2006-10-24
1508973025 Us Vision Optical Inc Technician/Technologist Hwy 36 & Fairview Ave, Roseville, MN 55113 2006-08-23
1215337241 Wal-mart Stores, Inc Technician/Technologist 1400 Lead Hill Blvd, Roseville, CA 95661-2949 2014-08-27
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95678

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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