SAM'S CLUB OPTICAL (NPI# 1427287630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427287630 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-8181 |
Practice Address |
3805 North Blvd Alexandria LA 71301-3563 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 3084429730 |
Enumeration Date | 2009-07-09 |
Last Update Date | 2009-07-09 |
Authorized Official Name | HOLLY C WILKINSON (CARRIER SPECIALIST) |
Authorized Official Telephone | 4792048320 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
Sam's Club Optical 30-8181 | 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 |
3805 NORTH BLVD |
City | ALEXANDRIA |
State | LA |
Zip Code | 71301-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316180219 | Sam's East Inc | Durable Medical Equipment & Medical Supplies | 3805 North Blvd, Alexandria, LA 71301-3563 | 2009-04-08 |
1326423906 | Rodney W Lewis | Pharmacist | 3805 North Blvd, Alexandria, LA 71301-3563 | 2015-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
Find all providers in zip 71301 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205078813 | Advanced Eye Care, Inc. | Technician/Technologist | 7013d Manchester Blvd, Alexandria, VA 22310-3201 | 2009-03-27 |
1306981956 | David John Schneiderhan | Technician/Technologist | 610 30th Ave W Ste 200, Alexandria, MN 56308-3426 | 2007-02-21 |
1275695637 | Osman Y. Sheikh | Technician/Technologist | 6399 Little River Tpke Ste 203, Alexandria, VA 22312-5093 | 2006-12-14 |
1588738132 | Randy's Family Optical, Inc. | Technician/Technologist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2006-11-17 |
1396136727 | Meron Taressa | Technician/Technologist | 50 S Pickett St, Suite #29, Alexandria, VA 22304-7207 | 2015-02-06 |
1548603780 | Robert Lynn Hanson Jr. | Technician/Technologist | 1915 Gus Kaplan Dr, Alexandria, LA 71301-3355 | 2013-04-08 |
1861634040 | Advanced Eye Care Inc | Technician/Technologist | 8101 Hinson Farm Rd, Suite 103, Alexandria, VA 22306-3403 | 2009-04-02 |
1053588756 | Daryl Scott Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
1851568562 | Ronald S Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
1033268347 | Niyadell, Inc | Technician/Technologist | 4660 Kenmore Ave, Suite 101, Alexandria, VA 22304-1306 | 2007-01-09 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71301 |
Please comment or provide details below to improve the information on SAM'S CLUB OPTICAL.
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.