SAM'S CLUB OPTICAL (NPI# 1447355219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447355219 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6572 |
| Practice Address |
2920 Knoxville Center Dr Knoxville TN 37924-2013 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8656372582 |
| Enumeration Date | 2006-09-14 |
| 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 30-6572 | 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 |
2920 KNOXVILLE CENTER DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37924-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368559 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2006-07-16 |
| 1861937799 | Shane Allen Baker | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2017-01-02 |
| 1033654967 | Mark Russell | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2017-01-02 |
| 1558738997 | Ginger Burgan | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2015-09-01 |
| 1427101716 | Sabina Akhtar Ahmed | Optometrist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930380 | Mina Farrar | Nurse Practitioner | 139 Fox Rd Suite 201, Knoxville, TN 37924 | 2014-12-04 |
| 1639211667 | Ben Crawford Lott | Pharmacist | 8727-a Asheville Hwy, Knoxville, TN 37924 | 2007-02-13 |
| 1790850832 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3001 Knoxville Center Dr Ste O, Knoxville, TN 37924 | 2006-11-22 |
| 1851462329 | Daniel Devine | Optometrist | 3000 Mall Road North, Knoxville Center Mall, Knoxville, TN 37924 | 2006-11-13 |
| 1518058056 | James Michael Andrews | Physical Therapy Assistant | 8309 Asheville Hwy., Knoxville, TN 37924 | 2006-09-28 |
| 1669405056 | Dialysis Clinic,inc. | Clinic/Center | 5811 E Gov.johnseiver Hwy, Knoxville, TN 37924 | 2006-07-08 |
| 1356840870 | David Samuel Patil | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924 | 2018-02-10 |
| 1497909519 | Damorrah Goode | Physical Therapy Assistant | 8309 Asheville Hwy, Knoxville, TN 37924 | 2008-11-17 |
| 1154576510 | Vonda Mcgill | Social Worker | 3947 Bud Mcmillan Rd, Knoxville, TN 37924-1010 | 2008-11-25 |
| 1962019398 | Kayla Blaire Hinkle | Registered Nurse | 8010 Chestnut Hill Ln, Knoxville, TN 37924-1054 | 2020-09-29 |
| Find all providers in zip 37924 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952853947 | National Vision, Inc. | Technician/Technologist | 6634 Clinton Hwy, Ste 103, Knoxville, TN 37912-1016 | 2016-10-26 |
| 1275988214 | National Vision, Inc. | Technician/Technologist | 165 N Peters Rd, Knoxville, TN 37923-4908 | 2016-04-27 |
| 1336454529 | Wal-mart Stores East Lp | Technician/Technologist | 7550 Norris Freeway, Knoxville, TN 37938 | 2010-08-11 |
| 1417151366 | John Anthony Norton | Technician/Technologist | 4306 N Broadway St, Knoxville, TN 37917-2207 | 2007-06-13 |
| 1093862005 | Bobby Gene Luttrell | Technician/Technologist | 5030 Kingston Pike, Knoxville, TN 37919-5187 | 2007-01-04 |
| 1083790232 | Wal-mart Stores East, Lp | Technician/Technologist | 10900 Parkside Dr, Knoxville, TN 37934-1958 | 2006-10-31 |
| 1235214818 | Wal-mart Stores East, Lp | Technician/Technologist | 6777 Clinton Hwy, Knoxville, TN 37912-1020 | 2006-10-25 |
| 1558444190 | Wal-mart Stores, Inc. | Technician/Technologist | 814 W Bell Ave, Knoxville, IA 50138-3162 | 2006-10-24 |
| 1932282274 | Wal-mart Stores East, Lp | Technician/Technologist | 7420 Chapman Hwy, Knoxville, TN 37920-6614 | 2006-10-23 |
| 1962584987 | Wal-mart Stores East, Lp | Technician/Technologist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-10-19 |
| Find all providers in KNOXVILLE | ||||
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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.