SAM'S CLUB OPTICAL (NPI# 1083795678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083795678 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6512 |
| Practice Address |
3315 Guthrie Hwy Clarksville TN 37040-5507 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9315520733 |
| Enumeration Date | 2006-10-18 |
| 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 30-6512 | 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 |
3315 GUTHRIE HWY |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396793576 | Lisa M Ely | Optometrist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2006-05-04 |
| 1598263105 | Wendy M Brockman | Pharmacist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2018-01-29 |
| 1669970281 | Roger Alan Teague | Pharmacist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2018-01-29 |
| 1366715906 | All Eyes Vision Care, Inc. | Optometrist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2012-02-13 |
| 1629391917 | Carolyn Beth Chambers | Pharmacist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2010-03-01 |
| 1366682882 | Nancy Marie Wells | Optometrist | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2009-02-23 |
| 1831116938 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3315 Guthrie Hwy, Clarksville, TN 37040-5507 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720531999 | National Vision, Inc. | Technician/Technologist | 2884 Wilma Rudolph Blvd, Clarksville, TN 37040-5001 | 2016-07-25 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1407939937 | Wal-mart Stores, Inc. | Technician/Technologist | 1230 E Market St, Clarksville, AR 72830-9027 | 2006-10-20 |
| 1184702136 | Wal-mart Stores East, Lp | Technician/Technologist | 1680 Fort Campbell Blvd, Clarksville, TN 37042-3537 | 2006-11-01 |
| 1760565352 | Wal-mart Stores East, Lp | Technician/Technologist | 1351 Veterans Pkwy, Clarksville, IN 47129-7747 | 2006-10-24 |
| 1285717546 | Wal-mart Stores East, Lp | Technician/Technologist | 2315 Madison St, Clarksville, TN 37043-5454 | 2006-10-23 |
| 1336221258 | Wal-mart Stores East, Lp | Technician/Technologist | 3050 Wilma Rudolph Blvd, Clarksville, TN 37040-5031 | 2006-10-19 |
| 1598856973 | Sam's Club Optical | Technician/Technologist | 1301 Veterans Pkwy, Clarksville, IN 47129-7747 | 2006-09-28 |
| 1548274285 | Us Vision Optical Inc | Technician/Technologist | 757 E Lewis and Clark Pkwy, Clarksville, IN 47129-2269 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072575 | Rebecca Lee Redmond | Technician/Technologist | 40 Carroll St, Mc Kenzie, TN 38201-1736 | 2019-09-17 |
| 1932661758 | Miws, LLC | Technician/Technologist | 1110 Market St Ste 113, Chattanooga, TN 37402-2894 | 2019-04-01 |
| 1780157925 | Eye Centers of Tennessee, LLC | Technician/Technologist | 46 W Broad St, Cookeville, TN 38501-2572 | 2019-01-10 |
| 1831661206 | Eye Centers of Tennessee, LLC | Technician/Technologist | 8401 Tn-111, Byrdstown, TN 38549 | 2018-12-26 |
| 1952853947 | National Vision, Inc. | Technician/Technologist | 6634 Clinton Hwy, Ste 103, Knoxville, TN 37912-1016 | 2016-10-26 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1275988214 | National Vision, Inc. | Technician/Technologist | 165 N Peters Rd, Knoxville, TN 37923-4908 | 2016-04-27 |
| 1710332762 | National Vision, Inc. | Technician/Technologist | 4300 Summer Ave, Suite 101, Memphis, TN 38122-4000 | 2016-04-27 |
| 1922452952 | National Vision, Inc. | Technician/Technologist | 7088 Charlotte Pike, Nashville, TN 37209-4210 | 2016-04-15 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on SAM'S CLUB OPTICAL.
| 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.