SAM'S CLUB OPTICAL (NPI# 1558462879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558462879 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6434 |
| Practice Address |
3535 Russett Grn Laurel MD 20724-1810 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3016042060 |
| Enumeration Date | 2006-09-26 |
| 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 30-6434 | 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 |
3535 RUSSETT GRN |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386661668 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3535 Russett Grn, Laurel, MD 20724-1810 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060952 | America's Best Contacts & Eyeglasses | Technician/Technologist | 14635-b Baltimore Ave., Laurel, MD 20707 | 2009-10-13 |
| 1780765156 | Wal-mart Stores East, Lp | Technician/Technologist | 3549 Russett Grn, Laurel, MD 20724-1810 | 2006-10-18 |
| 1538454533 | Tonya Marie Jones | Technician/Technologist | 351 Main St, Laurel, MD 20707-4131 | 2011-06-17 |
| 1639464647 | Eye Can See Optical | Technician/Technologist | 351 Main St, Laurel, MD 20707-4131 | 2011-06-17 |
| 1295047595 | Sharon Maxine Terry | Technician/Technologist | 8635 Cherry Ln, Laurel, MD 20707-6200 | 2010-07-02 |
| 1982833059 | Andre Cherisca Jr. | Technician/Technologist | 615 Main St, Laurel, MD 20707-4065 | 2009-07-09 |
| 1932347127 | Pearle Vision Center | Technician/Technologist | 14811 Baltimore Ave, Laurel, MD 20707-4817 | 2009-01-27 |
| 1427295484 | Samir G Rizk | Technician/Technologist | 14811 Baltimore Ave, Laurel, MD 20707-4817 | 2009-01-13 |
| 1245313055 | Wal-mart Stores, Inc. | Technician/Technologist | 1621 Highway 15 N, Laurel, MS 39440-2123 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234098 | Azar/filipov Md Pa | Technician/Technologist | 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804-1894 | 2020-08-05 |
| 1962011510 | Edmund Hilliman | Technician/Technologist | 3202 Ridgeway Pl, Windsor Mill, MD 21244-1021 | 2020-07-29 |
| 1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
| 1891326195 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1380 Progress Way Ste 108, Eldersburg, MD 21784-6498 | 2020-01-27 |
| 1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
| 1952969503 | Catonsville Vision Partners | Technician/Technologist | 405 Frederick Rd Ste 106, Baltimore, MD 21228-4646 | 2019-05-30 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
| 1215436357 | National Vision. Inc. | Technician/Technologist | 1401 Merritt Blvd # F, Baltimore, MD 21222-2140 | 2018-02-05 |
| 1972017358 | Chippewa Optical LLC | Technician/Technologist | 305 Reisterstown Rd, Baltimore, MD 21208-5313 | 2017-11-21 |
| 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.