SAM'S CLUB OPTICAL


Address: 2470 W Mason St, Green Bay, WI 54303-4711
Phone: 9204972112

SAM'S CLUB OPTICAL (NPI# 1033214275) 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) 1033214275
Entity Type Organization
Organization Name SAM'S CLUB OPTICAL
Other Organization Name SAM'S CLUB OPTICAL 30-8149
Practice Address 2470 W Mason St
Green Bay
WI 54303-4711
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0235
Practice Telephone 9204972112
Enumeration Date 2006-09-13
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 30-8149 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 2470 W MASON ST
City GREEN BAY
State WI
Zip Code 54303-4711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528085693 Sams East Inc Durable Medical Equipment & Medical Supplies 2470 W Mason St, Green Bay, WI 54303-4711 2006-07-16
1740814987 David Haynes Betts IIi Pharmacy 2470 W Mason St, Green Bay, WI 54303-4711 2020-02-26
1093128365 Paula Hart Dental Hygienist 2470 W Mason St, Green Bay, WI 54303-4711 2014-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952921033 Ashley Marie Vandermoss Social Worker 1601 W Mason Street, Green Bay, WI 54303 2020-04-20
1598307423 Jean Marie Castaneda Case Manager/Care Coordinator 2517 N. Court, Green Bay, WI 54303 2019-10-11
1215579552 Integrated Treatment Centers, LLC Clinic/Center 2311 W Mason Street, Green Bay, WI 54303 2019-10-08
1003460551 Affordable Dentures & Implants - Green Bay, S.c. Dentist 1800-c W. Mason Street, Green Bay, WI 54303 2019-08-01
1164940375 Kaeley Rae Blaney Student in an Organized Health Care Education/Training Program 2088 Memorial Drive #208, Green Bay, WI 54303 2017-09-07
1518498047 Treatment Providers LLC Clinic/Center 2731 N Packerland Dr Ste A, Green Bay, WI 54303 2017-03-26
1851840565 Back To Balance Chiropractic, LLC Chiropractor 110 Packerland Drive, Suite B, Green Bay, WI 54303 2016-09-23
1710361001 Matthew Lemay Acupuncturist 727 E Walnut, Suite B2, Green Bay, WI 54303 2015-07-16
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1174921993 Kensey Meyer Occupational Therapy Assistant 1555 Dousman Road, Seymour, WI 54303 2014-12-10
Find all providers in zip 54303

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
1518528033 Cheryl M Robertson Technician/Technologist 923 Eliza St, Green Bay, WI 54301-3234 2019-06-25
1962063495 Christina L Reek Technician/Technologist 923 Eliza St, Green Bay, WI 54301-3234 2019-06-25
1073994133 Kim Tavener Technician/Technologist 923 Eliza St, Green Bay, WI 54301-3234 2015-06-15
1700202538 America's Best Contacts & Eyeglasses Technician/Technologist 1499 W Mason St, Green Bay, WI 54303-2233 2014-03-18
1346525573 Vision Mart, Inc Technician/Technologist 2476 S Oneida St, Suite 105, Green Bay, WI 54304-5289 2011-10-19
1770756397 Judy Winney Technician/Technologist 923 Eliza St, Green Bay, WI 54301-3234 2008-04-03
1962675587 Karen Vandenhouten Technician/Technologist 923 Eliza St, Green Bay, WI 54301-3234 2008-04-03
1558409656 Wisconsin Vision, Inc. Technician/Technologist 2158 W Mason St, Green Bay, WI 54303-4705 2007-02-01
1386727501 Wal-mart Stores East, Lp Technician/Technologist 2440 W Mason St, Green Bay, WI 54303-4711 2006-10-23
1184707309 Wal-mart Stores East, Lp Technician/Technologist 2292 Main St, Green Bay, WI 54311-5307 2006-10-23
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54303

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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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