SAM'S CLUB OPTICAL (NPI# 1528152675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528152675 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6360 |
| Practice Address |
1040 Independent Ave Grand Junction CO 81505-7133 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9702439203 |
| 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 30-6360 | 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 |
1040 INDEPENDENT AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-7133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891712170 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1040 Independent Ave, Grand Junction, CO 81505-7133 | 2006-07-16 |
| 1922668003 | Morgan Lynn Epps | Pharmacist | 1040 Independent Ave, Grand Junction, CO 81505-7133 | 2019-06-19 |
| 1790252021 | Britta Smith | Pharmacist | 1040 Independent Ave, Grand Junction, CO 81505-7133 | 2018-10-24 |
| 1073847802 | Professional Visioncare of Colorado LLC | Optometrist | 1040 Independent Ave, Grand Junction, CO 81505-7133 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154652980 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2546 Rimrock Ave Ste 300, Grand Junction, CO 81505-8666 | 2010-01-19 |
| 1033294251 | Clinton A. Aluise | Technician/Technologist | 618 Walnut Ave, Grand Junction, CO 81501-7400 | 2006-10-26 |
| 1659766608 | Phillip Bagga | Technician/Technologist | 1316 North Ave, Grand Junction, CO 81501-6419 | 2015-04-06 |
| 1316103153 | Shannon Optical | Technician/Technologist | 618 Main St, Grand Junction, CO 81501 | 2008-07-31 |
| 1134274558 | Steve S Bagga | Technician/Technologist | 1316 North Ave, Grand Junction, CO 81501-6419 | 2007-01-24 |
| 1235212945 | Wal-mart Stores, Inc. | Technician/Technologist | 2881 North Ave, Grand Junction, CO 81501-5064 | 2006-10-24 |
| 1700967189 | Wal-mart Stores, Inc. | Technician/Technologist | 2545 Rimrock Ave, Grand Junction, CO 81505-8664 | 2006-10-18 |
| 1336241827 | Valley Vision Center, Inc. | Technician/Technologist | 950 North Ave Ste 106, Grand Junction, CO 81501-3259 | 2006-09-04 |
| 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 | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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.