SAM'S CLUB OPTICAL (NPI# 1144402470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144402470 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6406 |
| Practice Address |
5535 Porter Rd Niagara Falls NY 14304-1521 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 7162985379 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DAVID J SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sam's Club Optical 30-6406 | 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 |
5535 PORTER RD |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14304-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497009252 | Cheong Tsang | Pharmacist | 5535 Porter Rd, Niagara Falls, NY 14304-1521 | 2012-11-01 |
| 1285956789 | Melinda Beth Ybema | Pharmacist | 5535 Porter Rd, Niagara Falls, NY 14304-1521 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
| 1992299002 | Jessica Lyn Luh | Speech-Language Pathologist | 2639 Niagara Rd, Niagara Falls, NY 14304 | 2018-06-21 |
| 1508275926 | Daniel Ivers Norton | Social Worker | 2510 Kirkbridge Dr., Bldg. 803 Rm 121, Niagara Falls, NY 14304 | 2014-08-11 |
| 1033533997 | Denise Charmaine Sawyer-winkfield | Licensed Practical Nurse | 9701 Niagara Falls Blvd Suite 1f, Aftercare Nursing Services, Niagara Falls, NY 14304 | 2014-02-13 |
| 1255769204 | Timothy Roy Bronson | Counselor | 8610 Buffalo Avenue, Niagara Falls, NY 14304 | 2013-10-29 |
| 1679825202 | Brandon Winder | Hearing Instrument Specialist | 6989 Williams Rd., Niagara Falls, NY 14304 | 2012-10-05 |
| 1952652174 | Michelle Jean Barrons | Registered Nurse | 8431 Girard Ave, Niagara Falls, NY 14304 | 2012-09-27 |
| 1285983379 | Nicole Lee Hobbs | Physical Therapist | 2111 Sawyer Dr., Niagara Falls, NY 14304 | 2012-09-05 |
| 1962712513 | Karen Marie Krug | Registered Nurse | 434 72nd Street, Niagara Falls, NY 14304 | 2010-10-18 |
| 1760626550 | Sadaf Islam | Psychiatry & Neurology | 1623 Military Road, Niagara Falls, NY 14304 | 2009-04-24 |
| Find all providers in zip 14304 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689166803 | David Mark Kalota | Technician/Technologist | 7900 Buffalo Ave Ste A, Niagara Falls, NY 14304-4299 | 2018-06-04 |
| 1174648513 | Lu Anne Luero | Technician/Technologist | 1635 Military Rd, Niagara Falls, NY 14304-1745 | 2007-03-21 |
| 1194299909 | Macie Ann Graziadei | Technician/Technologist | 1540 Military Rd, Niagara Falls, NY 14304-4704 | 2019-01-15 |
| 1013481803 | David Dauoheuang | Technician/Technologist | 1540 Military Rd, Niagara Falls, NY 14304-4704 | 2019-01-15 |
| 1023525516 | William James Marlow | Technician/Technologist | 1540 Military Rd, Niagara Falls, NY 14304-4704 | 2018-01-05 |
| 1497954242 | Joseph A. Miller | Technician/Technologist | 6917 Plaza Dr, Niagara Falls, NY 14304-2918 | 2007-07-12 |
| 1902881212 | George Optical Co. Inc. | Technician/Technologist | 1523 Pine Ave, Niagara Falls, NY 14301-2209 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14304 |
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.