SAM'S CLUB OPTICAL (NPI# 1740372671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740372671 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6635 |
| Practice Address |
4827 S Wadsworth Way Denver CO 80123-1846 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3039710136 |
| 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 30-6635 | 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 |
4827 S WADSWORTH WAY |
| City | DENVER |
| State | CO |
| Zip Code | 80123-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823708 | Audrey Marie Dertien | Physical Therapist | 8160 W Coal Mine Ave, Littleton, CO 80123 | 2017-11-02 |
| 1215472832 | Littleton Counseling Associates Inc | Social Worker | 5931 S. Middlefield Rd., Suite 102, Littleton, CO 80123 | 2017-01-05 |
| 1376099986 | Catalyst Family Health LLC | Acupuncturist | 8501 W. Union Ave., #6, Littleton, CO 80123 | 2016-09-01 |
| 1760938476 | Evan Ingerson | Physical Therapist | 8500 W Crestline Avenue, Suite G-5, Littleton, CO 80123 | 2016-09-01 |
| 1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
| 1053718064 | Mary Grace Helfer | Specialist/Technologist | 9585 West Powers Circle, Littleton, CO 80123 | 2014-11-20 |
| 1497097133 | Aaron R Beck | Chiropractor | 7735 West Long Dr., Suite 11, Littleton, CO 80123 | 2013-03-20 |
| 1609154145 | Ultimate Health Medical Center Inc | Chiropractor | 7735 W. Long Dr., Suite 11, Littleton, CO 80123 | 2011-08-02 |
| 1487894036 | Stephanie Erin Patterson | Licensed Practical Nurse | 5297 S Wadsworth Blvd, Southwest Medical Offices, Littleton, CO 80123 | 2009-02-23 |
| 1518122274 | Orthopedic Rehab, Inc. | Prosthetic/Orthotic Supplier | 5066 S. Wadsworth Way, Ste 128, Littleton, CO 80123 | 2008-07-22 |
| Find all providers in zip 80123 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730652660 | National Vision Inc | Technician/Technologist | 2406 S Parker Rd Ste C, Denver, CO 80231-4381 | 2019-01-03 |
| 1710436449 | International Optique Inc | Technician/Technologist | 7800 E Hampden Ave, Denver, CO 80231-4885 | 2016-09-22 |
| 1366892531 | Vision Coat Inc | Technician/Technologist | 7800 E Iliff Ave, Denver, CO 80231-7009 | 2016-06-17 |
| 1619341070 | Dan Tholen | Technician/Technologist | 1720 Julian St, Denver, CO 80204-1621 | 2015-11-23 |
| 1952772402 | National Vision, Inc. | Technician/Technologist | 2780 S Colorado Blvd, Ste 300, Denver, CO 80222-6629 | 2015-10-09 |
| 1649508797 | Optique of Denver, LLC | Technician/Technologist | 1580 Blake Street, Denver, CO 80202-1322 | 2009-12-01 |
| 1235307646 | Tim Fabozzi | Technician/Technologist | 1550 Platte St, Suite D, Denver, CO 80202-6115 | 2008-02-19 |
| 1285819888 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3545 Quebec St Ste 115, Denver, CO 80207-1603 | 2008-01-02 |
| 1770014946 | Doctor's Optical, Inc. | Technician/Technologist | 1685 S Colorado Blvd, Unit O, Denver, CO 80222-4000 | 2017-03-21 |
| 1730410358 | Alpine Optical | Technician/Technologist | 2480 S Downing St, Suite 150, Denver, CO 80210-5890 | 2010-01-21 |
| Find all providers in DENVER | ||||
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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.