SAM'S CLUB OPTICAL (NPI# 1669563854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563854 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8160 |
| Practice Address |
5314 Allentown Pike Temple PA 19560-1249 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6109294321 |
| Enumeration Date | 2006-09-27 |
| 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 30-8160 | 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 |
5314 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861419004 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5314 Allentown Pike, Temple, PA 19560-1249 | 2006-07-16 |
| 1346600202 | Brian L. Barndt | Pharmacist | 5314 Allentown Pike, Pharmacy Department, Temple, PA 19560-1249 | 2016-03-03 |
| 1003952359 | Donna Louise Cristiano | Optometrist | 5314 Allentown Pike, Temple, PA 19560-1249 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982098471 | Wal-mart Stores Texas, LLC | Technician/Technologist | 6801 W Adams Avenue, Temple, TX 76502 | 2015-03-24 |
| 1578872321 | Marvina Drozd | Technician/Technologist | 1408 S 31st St Ste B, Temple, TX 76504-6791 | 2010-09-28 |
| 1588748602 | Wal-mart Stores East, Lp | Technician/Technologist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2006-10-25 |
| 1902904469 | Wal-mart Stores Texas, Lp | Technician/Technologist | 3401 S 31st St, Temple, TX 76502-1902 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| 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.