SAM'S CLUB OPTICAL (NPI# 1205926458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205926458 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-6413 |
Practice Address |
4900 N 27th St Lincoln NE 68521-1194 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 4024383540 |
Enumeration Date | 2006-10-16 |
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 30-6413 | 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 |
4900 N 27TH ST |
City | LINCOLN |
State | NE |
Zip Code | 68521-1194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235156332 | Sams West Inc | Pharmacy | 4900 N 27th St, Lincoln, NE 68521-1194 | 2006-07-16 |
1134635923 | Matthew Warren Wittmann | Pharmacist | 4900 N 27th St, Lincoln, NE 68521-1194 | 2017-12-16 |
1891150355 | Lee Stutzman | Pharmacist | 4900 N 27th St, Lincoln, NE 68521-1194 | 2015-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
1093089401 | Nancy L Dostal | Pharmacist | 1404 Superiort St., Lincoln, NE 68521 | 2012-03-02 |
1225274301 | Nicole Ann Ford | Dietitian, Registered | 5020 N. 27th St, Hy-vee, Lincoln, NE 68521 | 2008-12-19 |
1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
1649446261 | Megan Kristin Classen | Occupational Therapist | 5000 N 26th St Ste 400, Lincoln, NE 68521 | 2008-05-03 |
1720278526 | David Bruce Hilsabeck | Counselor | 6109 Nw 9th St, Lincoln, NE 68521 | 2007-07-27 |
1871648386 | Douglas C Rienks | Optometrist | 2550 Superior Street, Suite 150, Lincoln, NE 68521 | 2007-01-24 |
1518014869 | Carol J Niemann | Counselor | 4000 N 23erd St., Lincoln, NE 68521 | 2007-01-05 |
Find all providers in zip 68521 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
1326346339 | Stephen A Statton | Technician/Technologist | 4645 Normal Blvd, Suite 132, Lincoln, NE 68516 | 2011-03-01 |
1386839025 | Spec Shoppe | Technician/Technologist | 7121 A St, Suite #202, Lincoln, NE 68510-4289 | 2007-09-06 |
1457428997 | Robert Browne | Technician/Technologist | 1101 S 70th St, Suite 200, Lincoln, NE 68510-4278 | 2006-11-29 |
1972686673 | Wal-mart Stores, Inc. | Technician/Technologist | 4700 N 27th St, Lincoln, NE 68521-1190 | 2006-10-24 |
1013090364 | Wal-mart Stores, Inc. | Technician/Technologist | 8700 Andermatt Dr, Lincoln, NE 68526-9653 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851790810 | Sam's West, Inc. | Technician/Technologist | 9851 S 71st Plaza, Papillion, NE 68133 | 2014-08-15 |
1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
1992033419 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8650 S 71st Plz, Papillion, NE 68133-2141 | 2009-11-20 |
1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
1184849077 | William B Athey | Technician/Technologist | 3808 28th Ave, Suite 1a, Kearney, NE 68845-1288 | 2007-04-16 |
1164548921 | William D Cox | Technician/Technologist | 6767 Maple St, Omaha, NE 68104-3903 | 2007-03-22 |
1386777860 | Tommie L Blan Jr. | Technician/Technologist | 8616 N 30th St, Omaha, NE 68112-1808 | 2007-03-13 |
1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
1669585196 | Fremont Eye Associates, PC | Technician/Technologist | 540 E 28th St, Fremont, NE 68025-2385 | 2006-08-17 |
1235144650 | Monte Von Adams | Technician/Technologist | 512 Bell St, Beatrice, NE 68310-4445 | 2006-07-31 |
Find all providers with the same taxonomy |
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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.