SAM'S CLUB OPTICAL (NPI# 1720179260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720179260 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4824 |
| Practice Address |
26468 Carl Boyer Dr Santa Clarita CA 91350-2995 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6612227408 |
| Enumeration Date | 2006-09-28 |
| 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 30-4824 | 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 |
26468 CARL BOYER DR |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91350-2995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629095864 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 26468 Carl Boyer Dr, Santa Clarita, CA 91350-2995 | 2006-07-16 |
| 1659881746 | Ryan Nicolas Allen | Pharmacist | 26468 Carl Boyer Dr, Santa Clarita, CA 91350-2995 | 2017-10-03 |
| 1902214240 | Kim Thanh Vo | Pharmacist | 26468 Carl Boyer Dr, Santa Clarita, CA 91350-2995 | 2014-07-30 |
| 1558779249 | Mack Trujillo | Pharmacist | 26468 Carl Boyer Dr, Santa Clarita, CA 91350-2995 | 2014-07-26 |
| 1780867135 | Firstsight Vision Services, Inc. | Optometrist | 26468 Carl Boyer Dr, Santa Clarita, CA 91350-2995 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721713 | Adelaida Sanchez | Technician | 26144 Gravett Pl, Santa Clarita, CA 91350 | 2019-10-11 |
| 1164081873 | Brenda Yanez | Case Manager/Care Coordinator | 21545 Centre Ponite Pkwy, Santa Clarita, CA 91350 | 2019-06-07 |
| 1689149643 | Candace Lenore Hernandez | Marriage & Family Therapist | 28100 Bouquet Canyon Road Suite 218, Santa Clarita, CA 91350 | 2018-10-05 |
| 1508380817 | Melanie Rivas | Case Manager/Care Coordinator | 21545 Centre Pointe Parkway, Santa Clarita, CA 91350 | 2017-07-28 |
| 1124550850 | Action Family Counseling Bakersfield Rtc | Psychiatric Residential Treatment Facility | 26393 Bouquet Canyon Rd # C-134, Santa Clarita, CA 91350 | 2017-03-31 |
| 1346772381 | Action Family Counseling The Ranch | Substance Abuse Rehabilitation Facility | 26393 Bouquet Canyon Rd, C-134, Santa Clarita, CA 91350 | 2017-03-29 |
| 1124566492 | American Health Services | Case Management | 26460 Summit Circle, Santa Clarita, CA 91350 | 2017-02-07 |
| 1780058313 | Ariana Gomez | Marriage & Family Therapist | 21545 Centre Pointe Pkw, Santa Clarita, CA 91350 | 2015-11-19 |
| 1114306149 | Aaron Manfre | Marriage & Family Therapist | 21545 Centre Pointe Pwky, Santa Clarita, CA 91350 | 2015-05-22 |
| 1962811042 | Sam Bekhit | Pharmacist | 67471 Carl Boyer Drive, Canyon Country, CA 91350 | 2014-08-04 |
| Find all providers in zip 91350 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720523178 | National Vision, Inc. | Technician/Technologist | 24351 Magic Mountain Pkwy, Santa Clarita, CA 91355 | 2016-12-21 |
| 1437248325 | Wal-mart Stores, Inc. | Technician/Technologist | 27931 Kelly Johnson Parkway, Santa Clarita, CA 91355 | 2006-10-11 |
| 1710060504 | Wal-mart Stores, Inc. | Technician/Technologist | 26471 Carl Boyer Dr, Santa Clarita, CA 91350-2996 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARITA |
| Zip Code | 91350 |
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.