SAM'S CLUB OPTICAL


Address: 6001 University Town Centre Dr., Morgantown, WV 26534
Phone: 3045983169

SAM'S CLUB OPTICAL (NPI# 1154412724) 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) 1154412724
Entity Type Organization
Organization Name SAM'S CLUB OPTICAL
Other Organization Name SAM'S CLUB OPTICAL 30-4936
Practice Address 6001 University Town Centre Dr.
Morgantown
WV 26534
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-0235
Practice Telephone 3045983169
Enumeration Date 2006-09-27
Last Update Date 2020-08-22
Authorized Official Name TAMMY J BOYD (CONTRACT COORDINATOR)
Authorized Official Telephone 4792771359
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 30-4936 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 6001 UNIVERSITY TOWN CENTRE DR.
City MORGANTOWN
State WV
Zip Code 26534

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902404536 Beverly Hess Technician 5603 Webster Springs Rd, Grafton, WV 26534 2020-10-15
1588262554 Christina Conroy Technician 2139 Main St, Granville, WV 26534 2020-10-13
1598363426 Patricia Kay Rosenberger Technician 109 Forbes Lane, Granville, WV 26534 2020-10-13
1326659244 Olive Jean Carmody Technician 656 Miners Way, Apt 7b, Granville, WV 26534 2020-08-13
1255895421 John Albert Brecht Iv Student in an Organized Health Care Education/Training Program 2040 Gyorko Drive, Granville, WV 26534 2019-01-22
1598841827 Wal-mart Stores East, Lp Technician/Technologist 6051 University Town Centre Dr., Morgantown, WV 26534 2006-10-30
1255932489 Debra Elizabeth Brady Technician 1070 Main Street, Granville, WV 26534 2020-11-04

Providers in the same city

NPI Name Taxonomy Address Enumeration
1932700879 Anna Marie Vincent Technician 606 Brook Vw Apt F-6, Morgantown, WV 26508-6235 2020-11-06
1114528718 Billie Jane Shrout Technician #4 Ami Dr, Morgantown, WV 26501 2020-11-02
1952901605 George Paul Munas IIi Pharmacist 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 2020-10-30
1477153864 Anna Howard Technician 66 Twin Knobs, Morgantown, WV 26508-2736 2020-10-27
1417557752 Harriet Virginia Mayfield Technician 114 Clearwood Dr, Morgantown, WV 26508-6240 2020-10-27
1568061299 Elaina Rennae Kirkendall Technician 1100 Andrew Dr, Morgantown, WV 26508-6842 2020-10-23
1326647207 Carrie Stranko Case Manager/Care Coordinator 444 White Ave, Morgantown, WV 26501-6663 2020-10-21
1801495098 Lynn Louise Kocan Technician 241 Cherry St, Morgantown, WV 26501-6113 2020-10-20
1023617164 Elisabeth Gray Technician 107 Morgan Run Rd, Morgantown, WV 26508-2701 2020-10-20
1881292696 Shaelee Nelson Technician 408 Skyview # D8, Morgantown, WV 26508-9276 2020-10-14
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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
1598841827 Wal-mart Stores East, Lp Technician/Technologist 6051 University Town Centre Dr., Morgantown, WV 26534 2006-10-30
1487754289 Dawn Berardi Technician/Technologist 9601 Mall Rd, Morgantown, WV 26501 2006-09-22
1306324595 Barbara Jean Hess Technician/Technologist 1 Stadium Dr, Morgantown, WV 26506-7900 2018-07-31
1013218080 Parker James Doty Technician/Technologist 3142 Collins Ferry Rd, Morgantown, WV 26505-3352 2010-11-08
1285869230 Diane Marie Byrd Technician/Technologist 3142 Collins Ferry Rd, Morgantown, WV 26505-3352 2009-05-20
1396858189 Wal-mart Stores East, Lp Technician/Technologist 75 Retail Cir, Morgantown, WV 26508-1646 2006-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528148 Jordan Renee Morrison Technician/Technologist 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 2020-11-05
1154585941 Mary Jane Tudor Technician/Technologist 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 2008-07-11
1871763862 Wayne Dougherty Dba Wheeling Optical Technician/Technologist 1101 Market Street, Wheeling, WV 26003-2905 2008-03-05
1629257522 Robert Martin Mustard II Technician/Technologist 210 1/2 North Street, Bluefield, WV 24701 2007-10-26
1033240429 Wal-mart Stores East, L.p. Technician/Technologist 1 Tygart Valley Mall, Fairmont, WV 26554-3430 2007-03-08
1588711873 Melvin Leroy Mckinney Sr. Technician/Technologist 605 Bland St, Bluefield, WV 24701 2007-01-05
1922178474 Tea Vision Inc Technician/Technologist 5 Putnam Villiage, Teays, WV 25569 2006-11-09
1356410849 Jennifer L Field Technician/Technologist 10565 Veterans Memorial Highway, Masontown, WV 26542-9577 2006-11-07
1235210212 Wal-mart Stores East, Lp Technician/Technologist 1881 Robert C Byrd Dr, Beckley, WV 25801-8355 2006-10-18
1972690311 Rebecca A. Lake Technician/Technologist 612 Rosebud Plz, Clarksburg, WV 26301-9386 2006-10-06
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Competitor

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City MORGANTOWN
Zip Code 26534

Improve Information

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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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