SAM'S CLUB OPTICAL (NPI# 1285828640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285828640 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6518 |
| Practice Address |
13249 Lee Highway Bristol VA 24202 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 4232824860 |
| Mailing Telephone | 4792771175 |
| Mailing Fax Number | 4792778174 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MISS SABRINA NICOLE SUTTON (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792771175 |
| 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 30-6518 | 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 |
13249 LEE HIGHWAY |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| 1669948519 | Jessica P. Brown | Speech-Language Pathologist | 4350 Gate City Hwy, Bristol, VA 24202-1204 | 2018-10-18 |
| Find all providers in zip 24202 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114383908 | National Vision, Inc. | Technician/Technologist | 424 Pinnacle Pkwy, Unit 234, Bristol, TN 37620-8629 | 2016-01-08 |
| 1497766174 | Charles W Norton | Technician/Technologist | 725 Commonwealth Avenue, Bristol, VA 24201-3321 | 2006-08-10 |
| 1619428927 | Amy M Pagini | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-10-21 |
| 1346699451 | Mary W Florio | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-06-09 |
| 1366891376 | Joseph R Baranowskas Jr. | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-06-09 |
| 1215385604 | Ruthy Orozco | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-05-26 |
| 1912355215 | Justyna Kaniewski | Technician/Technologist | 1400 Farmington Ave, Bristol, CT 06010-4701 | 2016-05-26 |
| 1154702041 | Donat Jutras | Technician/Technologist | 927 Farmington Ave, Bristol, CT 06010-3927 | 2015-06-16 |
| 1295179034 | David Sardinha | Technician/Technologist | 375 Metacom Ave, Bristol, RI 02809-5179 | 2013-04-23 |
| 1568806305 | Frame N Focus Inc | Technician/Technologist | 375 Metacom Ave, Bristol, RI 02809-5179 | 2013-04-23 |
| Find all providers in BRISTOL | ||||
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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.