SAM'S CLUB OPTICAL (NPI# 1417041708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417041708 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4745 |
| Practice Address |
9601 Grant St Thornton CO 80229-2155 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3034534945 |
| Enumeration Date | 2006-10-03 |
| 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 30-4745 | 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 |
9601 GRANT ST |
| City | THORNTON |
| State | CO |
| Zip Code | 80229-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619994993 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 9601 Grant St, Thornton, CO 80229-2155 | 2006-07-16 |
| 1780248583 | Wade C Gunsallus | Pharmacist | 9601 Grant St, Thornton, CO 80229-2155 | 2019-04-26 |
| 1790348415 | Sara Sandoval | Pharmacist | 9601 Grant St, Thornton, CO 80229-2155 | 2019-04-18 |
| 1386188076 | L.l. Douglass, Od, Pllc | Optometrist | 9601 Grant St, Thornton, CO 80229-2155 | 2016-12-14 |
| 1912179573 | Anita Sahni Holley | Optometrist | 9601 Grant St, Thornton, CO 80229-2155 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045045 | Nicole Brooke Lindel | Dietitian, Registered | 10001 N. Washington Ave., Thornton, CO 80229 | 2020-02-18 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1891296224 | Discovery Avenues L.L.C. | Day Training, Developmentally Disabled Services | 300 Russell Blvd Apt F9, Thornton, CO 80229 | 2018-02-21 |
| 1265886725 | Ryan De' Angelo Pro | Massage Therapist | 10321 Washington Street, Suite 103, Thronton, CO 80229 | 2016-04-20 |
| 1912351800 | Concentra Medical | Clinic/Center | 550 East Thornton Pkwy, Suite 110, Thornton, CO 80229 | 2016-04-18 |
| 1114288636 | Senior Hub | Home Health | 9025 Grant St Ste 150, Thornton, CO 80229 | 2012-05-31 |
| 1578848545 | Kimberly Westhoff | Pharmacist | 10337 Washington Street, Thornton, CO 80229 | 2011-10-20 |
| 1003105636 | James C. Higham-kessler | Internal Medicine | 10001 N. Washington Street, Upper Level, Thornton, CO 80229 | 2011-04-05 |
| 1871899534 | Richard Walter Rybicki | Social Worker | 9981 N. Washington St., Ste 17, Thornton, CO 80229 | 2011-01-28 |
| 1114248911 | Smile Seven Professionals LLC | Dentist | 13691 Colorado Blvd Ste109, Thornton, CO 80229 | 2010-06-15 |
| Find all providers in zip 80229 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558446120 | Wal-mart Stores, Inc. | Technician/Technologist | 9901 Grant St, Thornton, CO 80229-2157 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730652660 | National Vision Inc | Technician/Technologist | 2406 S Parker Rd Ste C, Denver, CO 80231-4381 | 2019-01-03 |
| 1366914145 | Dennis Bell | Technician/Technologist | 102 W Mountain Ave, Fort Collins, CO 80524-2823 | 2018-12-18 |
| 1568976462 | National Vision, Inc | Technician/Technologist | 9609 A 2 East County Line Rd, Englewood, CO 80112 | 2017-11-30 |
| 1083134431 | Kids Spectacle Shop | Technician/Technologist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2017-06-26 |
| 1093257248 | B&s Inc. | Technician/Technologist | 2751 S Parker Rd, Suite 402, Aurora, CO 80014-2700 | 2016-11-04 |
| 1710436449 | International Optique Inc | Technician/Technologist | 7800 E Hampden Ave, Denver, CO 80231-4885 | 2016-09-22 |
| 1831647783 | National Vision, Inc. | Technician/Technologist | 1670 E Cheyenne Mountain Blvd, Ste N1 & M, Colorado Springs, CO 80906-4035 | 2016-09-20 |
| 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 |
| 1245601509 | Russell Poley | Technician/Technologist | 7007 E 88th Ave, L-50, Henderson, CO 80640-8214 | 2015-10-13 |
| 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.