SAM'S CLUB OPTICAL (NPI# 1700962990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700962990 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8210 |
| Practice Address |
2440 Se Loop 820 Fort Worth TX 76140-1008 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8172939225 |
| Enumeration Date | 2006-10-31 |
| 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 30-8210 | 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 |
2440 SE LOOP 820 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76140-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710157672 | Nhan Hanh Truong | Optometrist | 2440 Se Loop 820, Fort Worth, TX 76140-1008 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1366890352 | Charisse Huey | Social Worker | 8512 Cherry Bark Lane, Fort Worth, TX 76140 | 2016-05-31 |
| 1144662479 | Tiwanna Ortiz | Specialist | 9308 Rhoni Court, Fort Worth, TX 76140 | 2013-07-29 |
| 1760618474 | Divine Home Health Care Services | Home Health | 308, Autumn Park, Fort-worth, TX 76140 | 2009-06-09 |
| 1336386044 | John P Murphy | Dentist | 1609 Everman Pkwy, Ft Worth, TX 76140 | 2009-01-16 |
| 1831306596 | Patricia R Morton | Dentist | 6619 Forest Hill #55, Fort Worth, TX 76140 | 2007-05-16 |
| 1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
| 1417994948 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2816 Se Loop 820, Fort Worth, TX 76140 | 2006-06-01 |
| 1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
| 1184813818 | American Current Care, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2007-10-18 |
| Find all providers in zip 76140 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504063 | National Vision Inc | Technician/Technologist | 2600 W 7th St Ste 145, Fort Worth, TX 76107-9301 | 2018-07-13 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1447636600 | Zaheer Habibi | Technician/Technologist | 2536 Mall Cir, Suite D, Fort Worth, TX 76116-1545 | 2015-08-10 |
| 1902203805 | National Vision, Inc. | Technician/Technologist | 4811 Overton Ridge Blvd, Ste 228, Fort Worth, TX 76132-1972 | 2014-11-21 |
| 1851716625 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3016 Texas Sage Trl, Fort Worth, TX 76177-8589 | 2014-03-03 |
| 1972943355 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2401 Avondale Haslet, Fort Worth, TX 76052 | 2013-06-28 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1558636324 | Christina Wolinski | Technician/Technologist | 3789 N Beach St, Suite 213, Fort Worth, TX 76137-3244 | 2012-03-13 |
| 1225205602 | Willie Jake Wright II | Technician/Technologist | 5862 S Hulen St, Fort Worth, TX 76132-2684 | 2008-05-14 |
| 1013050319 | Janice Kay Faulkner | Technician/Technologist | 1223 5th Ave, Fort Worth, TX 76104 | 2007-02-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76140 |
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.