SAM'S CLUB OPTICAL (NPI# 1760589113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760589113 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-6332 |
Practice Address |
1000 Franklin Mills Circle Philadelphia PA 19154 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 2156322299 |
Enumeration Date | 2006-09-20 |
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 30-6332 | 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 |
1000 FRANKLIN MILLS CIRCLE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
1659801249 | Anne Leon | Behavioral Analyst | 10541 Drummond Rd, Philadelphia, PA 19154 | 2017-06-15 |
Find all providers in zip 19154 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
1700385101 | Roxanne Merriett | Technician/Technologist | 3810 Pearson Ave, Philadelphia, PA 19114-2833 | 2018-02-12 |
1639684665 | Christopher Brown | Technician/Technologist | 6831 N 9th St, Philadelphia, PA 19126-2904 | 2017-12-13 |
1740635648 | National Vision, Inc. | Technician/Technologist | 7636 City Line Ave, Philadelphia, PA 19151-2007 | 2016-04-28 |
1477982957 | Alan Spear | Technician/Technologist | 6441 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2013-11-05 |
1841625928 | Market St Optical Inc | Technician/Technologist | 1325 Market St, Philadelphia, PA 19107-2500 | 2013-09-09 |
1831524818 | Chestnut St Optical Inc | Technician/Technologist | 4002 Chestnut St, Philadelphia, PA 19104-3020 | 2013-09-09 |
1982039061 | Aramingo Optical Inc | Technician/Technologist | 3853 Aramingo Ave, Philadelphia, PA 19137-1003 | 2013-09-09 |
1548513625 | Bernadette Ford | Technician/Technologist | 715 S Ithan St, Philadelphia, PA 19143-2809 | 2012-10-26 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19154 |
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.