SAM'S CLUB OPTICAL (NPI# 1114019981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114019981 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-6679 |
Practice Address |
2251 Century Dr West Mifflin PA 15122-2465 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 4126538622 |
Enumeration Date | 2006-09-29 |
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 30-6679 | 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 |
2251 CENTURY DR |
City | WEST MIFFLIN |
State | PA |
Zip Code | 15122-2465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841217080 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2251 Century Dr, West Mifflin, PA 15122-2465 | 2006-07-16 |
1164909594 | Michele D Nehilla | Pharmacist | 2251 Century Dr, West Mifflin, PA 15122-2465 | 2018-07-27 |
1003392937 | Cynthia Masters | Pharmacist | 2251 Century Dr, West Mifflin, PA 15122-2465 | 2018-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366934200 | Vasilii Peter Bushunow | Student in an Organized Health Care Education/Training Program | General Internal Medicine - South, 2397 Mountain View Drive, West Mifflin, PA 15122 | 2018-06-06 |
1215429964 | Callie Marie Dutton Drohan | Student in an Organized Health Care Education/Training Program | Upmc General Internal Medicine South, 2397 Mountain View Drive, West Mifflin, PA 15122 | 2018-05-30 |
1972860062 | Mariama Mansaray | Occupational Therapist | 13331 N Street, Pittsburg, PA 15122 | 2012-04-13 |
1477793347 | Michael P. Kuniak | Preventive Medicine | 814 Pittsburgh-mckeesport Blvd, Bmpc - Bettis Laboratory - Medical Services, West Mifflin, PA 15122 | 2009-03-04 |
1598915092 | G.m. Crevar Opt Inc | Technician/Technologist | 3519 Homestead, Duquesne Rd., West Mifflin, PA 15122 | 2008-09-22 |
1669643128 | Allegheny Chiropractic Inc | Chiropractor | 3000 Lebanon Church Road, Suite 107, West Mifflin, PA 15122 | 2008-03-12 |
1346437670 | Hands 2 Help Senior Services | Home Health | 1844 Homeville Rd, West Mifflin, PA 15122 | 2007-10-01 |
1073527024 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3075 Clairton Blvd Rt. 51, West Mifflin, PA 15122 | 2006-07-27 |
1326066804 | James W Baird | Internal Medicine | 1872 Homeville Road, West Mifflin, PA 15122 | 2006-07-17 |
1770544264 | Saul J Silver | Internal Medicine | 1907 Lebanon Church Road, Suite 201, West Mifflin, PA 15122 | 2006-04-01 |
Find all providers in zip 15122 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598915092 | G.m. Crevar Opt Inc | Technician/Technologist | 3519 Homestead, Duquesne Rd., West Mifflin, PA 15122 | 2008-09-22 |
1073596417 | William P Crevar | Technician/Technologist | 3519 Homestead Duquesne Rd, West Mifflin, PA 15122-2910 | 2005-11-21 |
1063581031 | Wal-mart Stores East, Lp | Technician/Technologist | 2351 Century Dr, West Mifflin, PA 15122-2430 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
Find all providers with the same taxonomy |
City | WEST MIFFLIN |
Zip Code | 15122 |
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.