SAM'S CLUB OPTICAL (NPI# 1083790273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083790273 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8147 |
| Practice Address |
1200 E Eisenhower Blvd Loveland CO 80537-3924 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9706696100 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| Sam's Club Optical 30-8147 | Doing Business As Name - Organization |
| 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 |
| Street Address |
1200 E EISENHOWER BLVD |
| City | LOVELAND |
| State | CO |
| Zip Code | 80537-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073530358 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1200 E Eisenhower Blvd, Loveland, CO 80537-3924 | 2006-07-16 |
| 1346804101 | Katherine Bartelson | Pharmacist | 1200 E Eisenhower Blvd, Loveland, CO 80537-3924 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
| 1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
| 1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
| 1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
| 1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
| 1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
| 1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
| 1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
| Find all providers in zip 80537 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891989208 | Wal-mart Stores, Inc. | Technician/Technologist | 250 W 65th, Loveland, CO 80538 | 2007-08-29 |
| 1215363346 | Robert James Frank | Technician/Technologist | 1440 W 29th St, #200, Loveland, CO 80538-2459 | 2013-09-20 |
| 1528308673 | Hip Hoptical LLC | Technician/Technologist | 1440 W 29th St, #200, Loveland, CO 80538-2459 | 2013-02-27 |
| 1285717744 | Wal-mart Stores, Inc. | Technician/Technologist | 1325 Denver Ave, Loveland, CO 80537-5120 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730652660 | National Vision Inc | Technician/Technologist | 2406 S Parker Rd Ste C, Denver, CO 80231-4381 | 2019-01-03 |
| 1366914145 | Dennis Bell | Technician/Technologist | 102 W Mountain Ave, Fort Collins, CO 80524-2823 | 2018-12-18 |
| 1568976462 | National Vision, Inc | Technician/Technologist | 9609 A 2 East County Line Rd, Englewood, CO 80112 | 2017-11-30 |
| 1083134431 | Kids Spectacle Shop | Technician/Technologist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2017-06-26 |
| 1093257248 | B&s Inc. | Technician/Technologist | 2751 S Parker Rd, Suite 402, Aurora, CO 80014-2700 | 2016-11-04 |
| 1710436449 | International Optique Inc | Technician/Technologist | 7800 E Hampden Ave, Denver, CO 80231-4885 | 2016-09-22 |
| 1831647783 | National Vision, Inc. | Technician/Technologist | 1670 E Cheyenne Mountain Blvd, Ste N1 & M, Colorado Springs, CO 80906-4035 | 2016-09-20 |
| 1366892531 | Vision Coat Inc | Technician/Technologist | 7800 E Iliff Ave, Denver, CO 80231-7009 | 2016-06-17 |
| 1619341070 | Dan Tholen | Technician/Technologist | 1720 Julian St, Denver, CO 80204-1621 | 2015-11-23 |
| 1245601509 | Russell Poley | Technician/Technologist | 7007 E 88th Ave, L-50, Henderson, CO 80640-8214 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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| 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.