SAM'S CLUB OPTICAL (NPI# 1639269756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639269756 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4781 |
| Practice Address |
2925 Towne Centre Blvd Lansing MI 48912-5650 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 5174829149 |
| Enumeration Date | 2006-10-13 |
| 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 30-4781 | 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 |
2925 TOWNE CENTRE BLVD |
| City | LANSING |
| State | MI |
| Zip Code | 48912-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651653 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2006-07-16 |
| 1366042087 | James Thomas Novakoski | Pharmacist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2020-10-30 |
| 1972103950 | Chris Joseph Norello I | Pharmacist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2020-10-28 |
| 1932658085 | Monica Schiller | Pharmacist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2016-09-30 |
| 1942667878 | Beth Collier | Pharmacist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2016-01-22 |
| 1245468511 | Dunn Optometry | Optometrist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255625562 | America's Best Contacts & Eyeglasses | Technician/Technologist | 300 N Clippert St Ste 18a, Lansing, MI 48912-4691 | 2011-06-03 |
| 1144465436 | America's Best Contacts & Eyeglasses | Technician/Technologist | 533 N Marketplace Blvd Ste 6, Lansing, MI 48917-7735 | 2008-12-16 |
| 1124194824 | Richard Royal Murdock Jr. | Technician/Technologist | 120 W Allegan St, Lansing, MI 48933-1701 | 2006-11-27 |
| 1144310533 | Wal-mart Stores East, Lp | Technician/Technologist | 5110 Times Square (e), Lansing, MI 48864 | 2006-10-13 |
| 1720340599 | Usv Optical Inc. | Technician/Technologist | 5125 W Saginaw Hwy, Lansing, MI 48917-2635 | 2012-06-08 |
| 1801072343 | Draper Eyewear Inc | Technician/Technologist | 120 W Allegan St, Lansing, MI 48933-1548 | 2008-01-15 |
| 1538204516 | Eagle Optical, Inc. | Technician/Technologist | 3319 Ridge Rd, Lansing, IL 60438-3111 | 2007-02-20 |
| 1417030149 | Wal-mart Stores East, Lp | Technician/Technologist | 3225 Towne Centre Blvd, Lansing, MI 48912-5620 | 2006-10-24 |
| 1003999699 | Wal-mart Stores East, Lp | Technician/Technologist | 409 N Marketplace Blvd, Lansing, MI 48917-7732 | 2006-10-24 |
| 1235212770 | Wal-mart Stores, Inc | Technician/Technologist | 16771 Torrence Ave, Lansing, IL 60438-6018 | 2006-10-20 |
| Find all providers in LANSING | ||||
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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.