SAM'S CLUB OPTICAL (NPI# 1750470431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750470431 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6605 |
| Practice Address |
1225 N Gilbert Rd Gilbert AZ 85234-2306 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4809269006 |
| Enumeration Date | 2006-10-12 |
| 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 30-6605 | 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 |
1225 N GILBERT RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154348373 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1225 N Gilbert Rd, Gilbert, AZ 85234-2306 | 2006-07-16 |
| 1831513845 | Jayesh Patel | Pharmacist | 1225 N Gilbert Rd, Gilbert, AZ 85234-2306 | 2014-02-11 |
| 1447673892 | Anay Kapadia | Pharmacist | 1225 N Gilbert Rd, Gilbert, AZ 85234-2306 | 2014-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285184184 | Nationwide Vision Center, LLC | Technician/Technologist | 6510 S Higley Rd, Suite 101, Gilbert, AZ 85298-4336 | 2016-10-04 |
| 1437604360 | Kevin Walker | Technician/Technologist | 2093 S Avocet St, Gilbert, AZ 85295-6153 | 2016-08-21 |
| 1811205180 | Fabrizio Ruggiero | Technician/Technologist | 2168 E Williams Field Rd, Suite 108, Gilbert, AZ 85295-0741 | 2010-09-20 |
| 1295931137 | Wal-mart Stores, Inc. | Technician/Technologist | 5290 S Power Rd, Gilbert, AZ 85295-8478 | 2007-06-26 |
| 1033233572 | Per Spectacles Inc | Technician/Technologist | 1040 South Gilbert Rd, Ste 101a, Gilbert, AZ 85296 | 2007-03-19 |
| 1801940895 | Zane Grey Burke | Technician/Technologist | Brodheadsville Eye Care Center, Box 67 Ames Plaza, Gilbert, PA 18331 | 2007-01-23 |
| 1821160128 | Nationwide Vision Center, LLC | Technician/Technologist | 115 E Williams Field Rd, Suite 102, Gilbert, AZ 85296-5231 | 2006-11-14 |
| 1487724639 | Nationwide Vision Center, LLC | Technician/Technologist | 1672 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-8167 | 2006-11-08 |
| 1174832075 | John Paul Nelson | Technician/Technologist | 2168 E Williams Field Rd, Suite 108, Gilbert, AZ 85295-0741 | 2010-09-27 |
| 1740360171 | Wal-mart Stores, Inc. | Technician/Technologist | 2501 S Market St, Gilbert, AZ 85295-1300 | 2006-10-17 |
| Find all providers in GILBERT | ||||
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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.