SAM'S CLUB OPTICAL (NPI# 1396838223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396838223 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6255 |
| Practice Address |
8621 Ohio Dr Plano TX 75024-2264 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4696330026 |
| Enumeration Date | 2006-10-02 |
| 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 30-6255 | 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 |
8621 OHIO DR |
| City | PLANO |
| State | TX |
| Zip Code | 75024-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306863436 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 8621 Ohio Dr, Plano, TX 75024-2264 | 2006-07-16 |
| 1538760830 | Tracy Brooke Kubena Coffman | Pharmacist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2020-11-03 |
| 1619577236 | Shibu Mathew | Pharmacist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2020-11-01 |
| 1740880327 | Tonya Cooper | Pharmacist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2020-10-31 |
| 1841890423 | Siew Chen Gooi | Pharmacist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2020-10-31 |
| 1548787021 | Devlin Eye Care Pllc | Optometrist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2017-08-25 |
| 1528477221 | Mvn Co | Optometrist | 8621 Ohio Dr, Plano, TX 75024-2264 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003997461 | Wal-mart Stores Texas, Lp | Technician/Technologist | 6001 N Central Expy, Plano, TX 75023-4702 | 2006-10-18 |
| 1891876397 | Wal-mart Stores, Inc | Technician/Technologist | 6800 W Us Highway 34, Plano, IL 60545-9607 | 2006-10-18 |
| 1104282995 | National Vision, Inc. | Technician/Technologist | 6009 W Parker Rd, Ste 121, Plano, TX 75093-8120 | 2016-01-08 |
| 1295156974 | America's Best Contacts & Eyeglasses | Technician/Technologist | 701 N Central Expy, Plano, TX 75075-8812 | 2013-12-23 |
| 1689998171 | Jacques Soares Lace | Technician/Technologist | 3131 Custer Rd, S/ 155, Plano, TX 75075-4419 | 2010-03-26 |
| 1124109640 | Wal-mart Stores Texas, Lp | Technician/Technologist | 8801 Ohio Dr, Plano, TX 75024-2268 | 2006-10-18 |
| 1215018684 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1700 Dallas Pkwy, Plano, TX 75093-4519 | 2006-10-18 |
| 1922189398 | Wal-mart Stores Texas, Lp | Technician/Technologist | 6000 Coit Rd, Plano, TX 75023-5903 | 2006-10-18 |
| 1295816718 | Wal-mart Stores Texas, Lp | Technician/Technologist | 425 Coit Rd, Plano, TX 75075-5709 | 2006-10-18 |
| 1679660104 | Sam's Club Optical | Technician/Technologist | 301 Coit Rd, Plano, TX 75075-5711 | 2006-10-06 |
| Find all providers in PLANO | ||||
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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.