SAM'S CLUB OPTICAL (NPI# 1396820239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396820239 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4777 |
| Practice Address |
7805 E 35th Ave Denver CO 80238-2458 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7209416180 |
| Enumeration Date | 2006-10-26 |
| 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 30-4777 | 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 |
7805 E 35TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80238-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267622 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 7805 E 35th Ave, Denver, CO 80238-2458 | 2006-07-16 |
| 1154983591 | Shaneika Dawn Seibold | Pharmacist | 7805 E 35th Ave, Denver, CO 80238-2458 | 2019-07-06 |
| 1659752806 | Kelly Lynn Clark | Pharmacist | 7805 E 35th Ave, Denver, CO 80238-2458 | 2015-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730652660 | National Vision Inc | Technician/Technologist | 2406 S Parker Rd Ste C, Denver, CO 80231-4381 | 2019-01-03 |
| 1710436449 | International Optique Inc | Technician/Technologist | 7800 E Hampden Ave, Denver, CO 80231-4885 | 2016-09-22 |
| 1366892531 | Vision Coat Inc | Technician/Technologist | 7800 E Iliff Ave, Denver, CO 80231-7009 | 2016-06-17 |
| 1619341070 | Dan Tholen | Technician/Technologist | 1720 Julian St, Denver, CO 80204-1621 | 2015-11-23 |
| 1952772402 | National Vision, Inc. | Technician/Technologist | 2780 S Colorado Blvd, Ste 300, Denver, CO 80222-6629 | 2015-10-09 |
| 1649508797 | Optique of Denver, LLC | Technician/Technologist | 1580 Blake Street, Denver, CO 80202-1322 | 2009-12-01 |
| 1235307646 | Tim Fabozzi | Technician/Technologist | 1550 Platte St, Suite D, Denver, CO 80202-6115 | 2008-02-19 |
| 1285819888 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3545 Quebec St Ste 115, Denver, CO 80207-1603 | 2008-01-02 |
| 1740372671 | Sam's Club Optical | Technician/Technologist | 4827 S Wadsworth Way, Denver, CO 80123-1846 | 2006-09-28 |
| 1770014946 | Doctor's Optical, Inc. | Technician/Technologist | 1685 S Colorado Blvd, Unit O, Denver, CO 80222-4000 | 2017-03-21 |
| Find all providers in DENVER | ||||
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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.