SAM'S CLUB OPTICAL (NPI# 1326137399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326137399 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6430 |
| Practice Address |
1948 Dell Range Blvd Cheyenne WY 82009-4917 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716 |
| Practice Telephone | 3076373771 |
| Mailing Telephone | 3167885580 |
| Enumeration Date | 2006-10-11 |
| 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 30-6430 | 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 |
1948 DELL RANGE BLVD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813867 | Lauren Williams | Pharmacist | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2015-10-09 |
| 1356721856 | Kimberly Anne Robison | Pharmacist | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2015-06-01 |
| 1952728230 | Erin Michelle Nemec | Pharmacist | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2014-03-25 |
| 1588006233 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1948 Dell Range Blvd, Cheyenne, WY 82009-4917 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033302856 | Your Family Optical | Technician/Technologist | 4214 Cheyenne St, Cheyenne, WY 82001-1923 | 2007-08-24 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1326128943 | Wal-mart Stores, Inc. | Technician/Technologist | 2032 Dell Range Blvd, Cheyenne, WY 82009-4956 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508200379 | Sams West, Inc. | Technician/Technologist | 4600 E 2nd St, Casper, WY 82609-4224 | 2013-04-24 |
| 1437379161 | Wyoming Optical Inc | Technician/Technologist | 485 E 2nd St, Casper, WY 82601-2507 | 2007-04-26 |
| 1487786836 | Wal Mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 4255 Cy Avenue, Casper (w), WY 82604 | 2007-03-12 |
| 1487054631 | Amy Ruskowsky | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9309 | 2014-08-25 |
| 1124220645 | Northern Wyoming Ophthalmology, P.C. | Technician/Technologist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-3423 | 2007-06-05 |
| 1558563064 | Bruce Cram | Technician/Technologist | 721 Sheridan Ave, Suite 280, Cody, WY 82414-3423 | 2007-06-05 |
| 1891829966 | Wal-mart Stores, Inc. | Technician/Technologist | 2300 S Douglas Hwy, Gillette, WY 82718-5420 | 2007-03-14 |
| 1164577029 | Michael S Pillen | Technician/Technologist | 2610 S Douglas Hwy, Ste 190, Gillette, WY 82718-6468 | 2007-01-23 |
| 1629153234 | Wal-mart Stores, Inc. | Technician/Technologist | 1695 Coffeen Ave, Sheridan, WY 82801-5707 | 2006-10-25 |
| 1225118789 | Wal-mart Stores, Inc. | Technician/Technologist | 1733 N Federal Blvd, Riverton, WY 82501-5201 | 2006-10-17 |
| 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.