SAM'S CLUB OPTICAL (NPI# 1306060777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306060777 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Practice Address |
3530 Lakeland Highlands Rd Lakeland FL 33803 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 8636444730 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NORMA B SMITH (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792771703 |
| 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 |
| 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 |
3530 LAKELAND HIGHLANDS RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890944 | Michael Nunno | Pharmacist | 3530 Lakeland Highlands Rd, Lakeland, FL 33803-4313 | 2020-10-28 |
| 1821216219 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3530 Lakeland Highlands Rd, Lakeland, FL 33803-4313 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770986523 | America's Best Contacts & Eyeglasses | Technician/Technologist | 919 Lakeland Park Center Dr, Ste 314, Lakeland, FL 33809-3841 | 2014-10-07 |
| 1780021048 | Eyeglass World | Technician/Technologist | 3635 Us Highway 98 N, Lakeland, FL 33809-3808 | 2013-05-28 |
| 1467553784 | Sam's Club Optical | Technician/Technologist | 4600 Us Highway 98 N, Lakeland, FL 33809-3603 | 2006-09-26 |
| 1255345252 | Usv Optical Inc. | Technician/Technologist | 3800 U.S. 98 North, Lakeland, FL 33809 | 2006-07-28 |
| 1336509207 | Misada Inc | Technician/Technologist | 1371 Town Center Dr, Lakeland, FL 33803-7964 | 2016-03-04 |
| 1801232616 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3615 S Florida Ave, Lakeland, FL 33803-4876 | 2013-05-20 |
| 1215052477 | Fadea Inc | Technician/Technologist | 1371 Town Center Dr, Lakeland, FL 33803-7964 | 2007-03-20 |
| 1043309842 | Wal-mart Stores East, Lp | Technician/Technologist | 5800 Us Highway 98 N, Lakeland, FL 33809-3110 | 2006-10-12 |
| 1376644690 | Wal-mart Stores East, Lp | Technician/Technologist | 3501 S Florida Ave, Lakeland, FL 33803-4860 | 2006-09-26 |
| 1619078649 | Mark Joseph Bridges | Technician/Technologist | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-09-25 |
| Find all providers in LAKELAND | ||||
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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.