SAM'S CLUB OPTICAL (NPI# 1225129760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225129760 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6357 |
| Practice Address |
2100 Generals Hwy Annapolis MD 21401-6723 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4105731112 |
| Enumeration Date | 2006-09-28 |
| 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 30-6357 | 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 |
2100 GENERALS HWY |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568489847 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2100 Generals Hwy, Annapolis, MD 21401-6723 | 2006-07-16 |
| 1720688062 | Kevin M Morgan | Pharmacist | 2100 Generals Hwy, Annapolis, MD 21401-6723 | 2020-10-27 |
| 1861894016 | Beena S Patel | Optometrist | 2100 Generals Hwy, Annapolis, MD 21401-6723 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801022306 | America's Best Contacts & Eyeglasses | Technician/Technologist | 150 Jennifer Rd # 160, Annapolis, MD 21401-3044 | 2009-06-10 |
| 1225250673 | Wildman Optics Inc | Technician/Technologist | 1325 Annapolis Mall, Annapolis, MD 21401-3082 | 2007-05-03 |
| 1033123997 | Usv Optical Inc. | Technician/Technologist | 1695 Annapolis Mall, Annapolis, MD 21401 | 2006-07-28 |
| 1114155165 | Barbara Ann Mckeefery | Technician/Technologist | 234 Main St, Annapolis, MD 21401-2005 | 2009-06-29 |
| 1588892525 | Rick Lepski | Technician/Technologist | 234 Main St, Annapolis, MD 21401-2005 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234098 | Azar/filipov Md Pa | Technician/Technologist | 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804-1894 | 2020-08-05 |
| 1962011510 | Edmund Hilliman | Technician/Technologist | 3202 Ridgeway Pl, Windsor Mill, MD 21244-1021 | 2020-07-29 |
| 1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
| 1891326195 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1380 Progress Way Ste 108, Eldersburg, MD 21784-6498 | 2020-01-27 |
| 1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
| 1952969503 | Catonsville Vision Partners | Technician/Technologist | 405 Frederick Rd Ste 106, Baltimore, MD 21228-4646 | 2019-05-30 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
| 1215436357 | National Vision. Inc. | Technician/Technologist | 1401 Merritt Blvd # F, Baltimore, MD 21222-2140 | 2018-02-05 |
| 1972017358 | Chippewa Optical LLC | Technician/Technologist | 305 Reisterstown Rd, Baltimore, MD 21208-5313 | 2017-11-21 |
| 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.