SAM'S CLUB OPTICAL


Address: 2025 S Southwest Loop 323, Tyler, TX 75701-0763
Phone: 9035972296

SAM'S CLUB OPTICAL (NPI# 1174610752) 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) 1174610752
Entity Type Organization
Organization Name SAM'S CLUB OPTICAL
Other Organization Name SAM'S CLUB OPTICAL 30-8284
Practice Address 2025 S Southwest Loop 323
Tyler
TX 75701-0763
Mailing Address 702 Sw 8th Street
Bentonville
AR 72716-0235
Practice Telephone 9035972296
Enumeration Date 2006-10-06
Last Update Date 2020-08-22
Authorized Official Name LINDA M. EPPERSON (NPI COORDINATOR)
Authorized Official Telephone 3167885580
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 30-8284 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 2025 S SOUTHWEST LOOP 323
City TYLER
State TX
Zip Code 75701-0763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841217981 Sams East Inc Durable Medical Equipment & Medical Supplies 2025 S Southwest Loop 323, Tyler, TX 75701-0763 2006-07-16
1568063147 Shad Moon Pharmacist 2025 S Southwest Loop 323, Tyler, TX 75701-0763 2020-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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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
1952750325 National Vision, Inc. Technician/Technologist 6710 S Broadway Ave, Ste100, Tyler, TX 75703-4755 2016-06-07
1912088352 Wal-mart Stores Texas, LLC Technician/Technologist 3820 Highway 64 W, Tyler, TX 75704-6924 2006-10-18
1972041374 Wal-mart Stores Texas, LLC Technician/Technologist 450 S Southeast Loop 323, Tyler, TX 75702-8646 2017-02-06
1508153347 Eyeglass World Technician/Technologist 4901 S Broadway Ave, Tyler, TX 75703-1325 2011-06-30
1467533810 Wal-mart Stores Texas, Lp Technician/Technologist 6801 S Broadway Ave, Tyler, TX 75703-4733 2006-10-18
1912004375 Wal-mart Stores Texas, LLC Technician/Technologist 5050 Troup Hwy, Tyler, TX 75707-1916 2006-09-20
1912923590 East Texas Eye Care Associates LLC Technician/Technologist 2440 E 5th St, Tyler, TX 75701-3525 2006-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568095271 Quyen Ngo Nguyen Technician/Technologist 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 2020-02-20
1710522479 Mikel Rivera Technician/Technologist 314 N Walnut St Ste C, Sherman, TX 75090-0047 2019-11-16
1740822501 Eyeglasses of Texas Technician/Technologist 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 2019-10-14
1013558840 Cristian Villagomez Technician/Technologist 2128 Kazmeier Plz, Bryan, TX 77802-3414 2019-10-02
1104393339 National Vision Inc Technician/Technologist 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 2018-10-25
1063987618 Stephen Williams Technician/Technologist 701 Commerce St Ste 629, Dallas, TX 75202-4522 2018-10-10
1174007207 National Vision Inc Technician/Technologist 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 2018-09-25
1295217032 Richard D Reyes Technician/Technologist 115 E Travis St Ste 100, San Antonio, TX 78205-1668 2018-08-29
1205316890 Katherine Denney Technician/Technologist 202 W Main St Ste 200-107, Allen, TX 75013-8094 2018-08-14
1407332497 National Vision Inc Technician/Technologist 3649 Catclaw Dr, Abilene, TX 79606-8249 2018-07-13
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Competitor

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City TYLER
Zip Code 75701

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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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