SAM'S CLUB OPTICAL


Address: 1000 Franklin Mills Circle, Philadelphia, PA 19154
Phone: 2156322299

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Sam's Club Optical 30-6332 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1000 FRANKLIN MILLS CIRCLE
City PHILADELPHIA
State PA
Zip Code 19154

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19154

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Dataset Information

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.

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